Method of treatment of symptoms of menopause

ABSTRACT

The present invention generally relates to novel pharmaceutical formulations containing 2-[3,5-Bis (trifluoromethyl)phenyl]-N-{4-(4-fluoro-2-methylphenyl)-6-[(7S,9aS)-7-(hydroxymethyl)hexahydropyrazino[2,1-c][1,4]oxazin-8(1H)-yl]-3-pyridinyl}-N,2-dimethylpropanamide, methods of preparation thereof and their use in medical therapy.

This Non-Provisional Application is a divisional application of U.S.patent application Ser. No. 16/351,659, filed Mar. 13, 2019, whichclaims priority to and the benefit of U.S. Provisional Application No.62/642,622 filed on Mar. 14, 2018 the contents of which are incorporatedherein by reference in their entireties.

FIELD OF THE INVENTION

This invention relates to novel pharmaceutical formulations containingdual NK-1/NK-3 receptor antagonists, specifically including2-[3,5-Bis(trifluoromethyl)phenyl]-N-{4-(4-fluoro-2-methylphenyl)-6-[(7S,9 aS)-7-(hydroxymethyl)hexahydropyrazino[2,1-c][1,4]oxazin-8(1H)-yl]-3-pyridinyl}-N,2-dimethylpropanamide,methods of preparation thereof and their use in medical therapy.

BACKGROUND OF THE INVENTION

Tachykinins belong to a family of short peptides that are widelydistributed in the mammalian central and peripheral nervous system(Bertrand and Geppetti, Trends Pharmacol. Sci. 17: 255-259 (1996)). Theyshare the common C-terminal sequence Phe-Xaa-Gly-Leu-Met-NH2. The threemajor tachykinins are Substance P (SP), Neurokinin A (NKA) andNeurokinin B (NKB) with preferential affinity for respectively threedistinct receptor subtypes, termed Neurokinin(NK)-1, NK-2, and NK-3.

Compounds showing selective affinity simultaneously to both NK-1 andNK-3 receptors are named dual NK-1/NK-3 receptor antagonists. Forexample,2-[3,5-Bis(trifluoromethyl)phenyl]-N-{4-(4-fluoro-2-methylphenyl)-6-[(75,9a5)-7-(hydroxymethyl)hexahydropyrazino[2,1-c][1,4]oxazin-8(1H)-yl]-3-pyridinyl}-N,2-dimethylpropanamide (Compound A), having the following structure:

has been found to be effective as a dual NK-1/NK-3 receptor antagonist.

Compound A is also known in an anhydrous crystalline form. Thus CompoundA in an anhydrous crystalline form is described in WO2011023733, e.g.,having 2 theta angles occurring at 4.3±0.1, 7.9±0.1, 9.8±0.1, 10.7±0.1,10.8±0.1, 13.3±0.1, 14.0±0.1, 15.1±0.1 degrees, which correspondrespectively to d-spacing at 20.4, 11.1, 9.0, 8.3, 8.2, 6.6, 6.3 and 5.9Angstroms (Å) (hereinafter “Form 1”).

Compound A or pharmaceutically acceptable salts thereof, including itscrystalline Form 1, are known, inter alia to be useful in the treatmentof sex hormone diseases, including hot flushes (WO 2016/184829).

It is essential that, when being administered to a subject in needthereof, Compound A reaches the site of action at an amount and for aduration, as defined by the pharmacokinetic (PK) exposure, that issufficient for a therapeutic effect to occur, while the exposure levelof Compound A is not too high that it might result in treatment inducedadverse reactions. Therefore there are two key parameters relating tothe PK of Compound A to ensure that a dose of this drug administered toa patient consistently reaches levels of exposure so that it producesthe desired therapeutic effect while minimising the potential foradverse effects. First is the PK variability which is a measure of thevariation in exposures achieved with the same dose of a drug. The PKvariability which is typically measured as the Coefficient of Variationas a percent (CV %) should be low such that when any given dose of adrug is administered the plasma levels (both maximum plasmaconcentration that a drug achieves [Cmax] and exposure [Area under theCurve [AUC]] in subjects are similar. Certainly the CV % achieved forthese measures with any given dose of a particular drug should betypically <50%. Second is the bioavailability of Compound A, whichdefines the proportion of a drug from an administered dosage form thatreaches the systemic circulation and therefore dictates the level ofdrug exposure. The bioavailability achieved with a dose of a particulardrug when administered to a subject needs to be able to reach thedesired therapeutics levels of exposure.

It is known that the formulation of a drug (dosage form) namely theprocess by which the active drug is combined with other differentinactive chemical substances (excipients), to produce a final drugproduct can influence these two critical PK parameters. However suchformulations also need to maintain the stability of the active drugideally at ambient conditions for long term storage. Maintenance ofstability of the active drug is therefore the third key parameterrequired for development of a novel drug product formulation.

Previously, Compound A as Form 1, was formulated for oral administrationas solid dosage forms of drug product and these were administered tohuman subjects in both Phase 1 and 1b/2 clinical studies.

The PK data from a tablet solid dose formulation administered as singleoral doses of either 100 mg or 200 mg of Compound A (Form 1) to 16healthy male and female volunteers in a Phase 1 study is summarized inTable 1. The results revealed an unacceptable level of PK variability asmeasured by CV % that ranged from 69.9% to 120%, and high Ratios ofMinimum & Maximum PK parameters ranging from 9.8 to 20.1.

TABLE 1 PK data from a single dose Phase 1 clinical study with CompoundA(Form1) using a solid dose tablet drug product Development Form:Anhydrous crystalline form (Form1) Study populations: Male and FemaleHealthy Volunteers PK Dose Geometric Minimum Maximum Ratio Formulationparameter (mg) N Mean CV % (Min) (Max) (Max:Min) Solid Cmax 100 16 880101 120 2411 20.1 tablet{circumflex over ( )} (ng/mL) 200 795 120 1692268 13.4 doses AUC₀₋₂₄ 100 3309 69.9 679 6625 9.8 (single dose) (ng ·hr/mL) 200 4424 76.3 1237 12937 10.5 Key: CV % = Coefficient ofvariation percent {circumflex over ( )}Powder blend of Compound Aanhydrous crystalline form (Form1) which has been compressed to obtain atablet drug product

A second Phase 1b/2 clinical study was undertaken involving repeateddosing of an additional solid dose hard gelatin capsule formulation ofCompound A (Form 1) in post-menopausal women experiencing moderate tosevere vasomotor symptoms. The doses investigated were 50, 100, 150 and300 mg, orally administered once daily for 14 days. There were 13 or 15subjects per dose group. All doses were given using the 50 mg capsuleformulation. To achieve unit doses higher than 50 mg, appropriatemultiples of capsules were concomitantly administered to patients ineach of the dose groups. Steady-state PK results after 14 days dosingare presented in Table 2. Once more an unacceptably high level of PKvariability was observed in this repeat dose study with the hard capsulesolid dosage drug product as measured by CV % that ranged from 64.7% to131.2%, and high Ratios of Minimum & Maximum PK parameters ranging from6.1 to 36.5.

TABLE 2 Steady-state PK data from a repeat dose Phase 1b/2 clinicalstudy with Compound A(Form1) using a solid dose hard gelatin drugproduct Development Form: Anhydrous crystalline form (Form1) Studypopulations: Post-menopausal females experiencing moderate to severevasomotor symptoms PK Dose Geometric Minimum Maximum Ratio Formulationparameter (mg) N Mean CV % (Min) (Max) (Max:Min) Solid hard Cmax 50 15522 87.9 142 1544 10.9 gelatin (ng/mL) 100 14 841 107.2 181 3856 21.3capsule 150 15 1188 131.2 208 5903 28.4 doses 300 13 2852 116.5 237 865336.5 (Steady-state AUC₀₋₂₄ 50 15 2342 64.7 915 5540 6.1 Day 14) (ng ·hr/mL) 100 14 3542 86.3 778 10938 14.1 150 15 5164 88.7 1564 16163 10.3300 13 14823 99.7 2457 79685 32.4 Key: CV % = Coefficient of variationpercent {circumflex over ( )} Powder blend of Compound A anhydrouscrystalline form (Form1) which has been encapsulated in a hard gelatincapsule. The specific composition of a solid dosage hard gelatin capsuleformulation containing 50 mg of Compound A is provided in Table 3.

The efficacy assessments demonstrated that ‘maximum efficacy’ in thisPhase 1b/2 study was achieved with a once daily dose hard gelatin drugproduct of 150 mg Compound A (requiring three 50 mg hard gelatincapsules). Repeat once-a-day dosing of 150 mg Compound A gave ageometric mean exposure AUC₀₋₂₄5164 ng·hr/mL of the drug at Day 14.

TABLE 3 Composition of solid dose hard gelatin capsule formulationcontaining 50 mg of Compound A[Form 1] administered in the Phase 1b/2study. Quantity per Ingredients Capsule (mg) Functionality Compound A(Form1) 50.00 Active Intra-granular Ingredients Lactose Monohydrate(Spray Dried) 47.10 Filler Agent Microcrystalline Cellulose, 33.04Filler Agent (Avicel PH-101) Hypromellose 2910 5.55 BinderCroscarmellose Sodium 1.67 Disintegrant Purified Water (removed during22.22 Granulating processing) Solution Extra-granular ingredientsLactose Anhydrous (Super Tab 21.89 Filler Agent 21AN) MicrocrystallineCellulose (PH-102) 35.00 Filler Agent Croscarmellose Sodium 5.25Disintegrant Magnesium Stearate 1.75 Lubricating Agent Total (intra- andextra-granular) 201.25 Empty Hard Gelatin Capsule, Size 2, 1 unitCapsule Shell Opaque White/White

Despite levels of drug exposure being achieved that were efficacious inthe Phase 1b/2 clinical study, neither of these solid dose formulationsof Compound A are suitable for further clinical development due to thevery high PK variability observed in these human subjects.

Therefore, there is a need for a novel pharmaceutical formulation ofCompound A or a pharmaceutically acceptable salt thereof that provides areduced human subject PK variability, thereby reducing the likelihood ofvery high drug exposures being reached in individual patients andensuring a much safer medicine; as well as avoiding too low exposureswhich would mean patients do not receive a therapeutically beneficialdose of Compound A. Such formulations must also have sufficientbioavailablity to be able to achieve therapeutic levels of plasmaexposure of Compound A. In addition such formulations must provide goodstability of Compound A during manufacture and subsequent distributionand long term storage of the drug product

A soft gelatin capsule formulation could provide an approach to addressthese needs. However, it is known to those in the art, that formulatingdrugs into solution for encapsulation into a soft gelatin capsule can bechallenging and can present many problems (Gullapalli, 2010). Thesechallenges include the migration of the soft gelatin constituentsbetween the formulation, the shell and external environments; nor mustthere be physical and chemical incompatibilities between the components.In addition, it can be difficult to identify liquid matrices in which anactive ingredient is sufficiently soluble to dissolve the desired targetdose in a suitably small volume to be encapsulated for oraladministration; that does not precipitate out during the manufacturingprocess, upon storage for the duration of the required shelf-life, uponcontract with the aqueous environment (dissolution) nor onceadministered in vivo. Also, it can be problematic to identifyformulations in which drug substances are stable for long term storageencapsulated in the soft gelatin capsules as they are susceptible toboth hydrolytic and oxidative instability.

These technical challenges have been unexpectedly overcome and theformulations according to the present invention address all the threekey parameters described above.

Particularly, the present disclosure is based on, inter alia, ourunexpected discovery of novel formulations of Compound A that provideremarkably reduced PK variability of Compound A and that can achievetherapeutic levels of plasma exposure. Furthermore, it was discoveredthat such formulations effectively solubilize Compound A in a volumesuitable for oral administration and exhibit long-term storage stabilityat ambient conditions without recrystallization, precipitation, or phaseseparation.

SUMMARY OF THE INVENTION

The present invention provides, inter alia, a pharmaceuticalformulation, comprising:

(a)2-[3,5-Bis(trifluoromethyl)phenyl]-N-{4-(4-fluoro-2-methylphenyl)-6-[(75,9aS)-7-(hydroxymethyl)hexahydropyrazino[2,1-c][1,4]oxazin-8(1H)-yl]-3-pyridinyl}-N,2-dimethylpropanamide(Compound A):

or a pharmaceutically acceptable salt thereof;

(b) at least one solubilizer

In some aspects, the present invention provides a pharmaceuticalformulation, comprising:

(a) Compound A; and

(b) at least a solubilizer

In some embodiments, Compound A is in a crystalline form. In someembodiments, Compound A is in anhydrous crystalline Form 1. In someembodiments, the pharmaceutical formulation further comprises anantioxidant. In some embodiments, the pharmaceutical formulation furthercomprises an emulsifier.

In some embodiments, the pharmaceutical formulation further comprisesone or more additional therapeutic agents. In some embodiments, thepharmaceutical formulation is an oral formulation. In some embodiments,the pharmaceutical formulation is a liquid oral formulation.

In some aspects, the present invention provides a pharmaceutical kit,consisting a first package comprising the pharmaceutical formulation ofany one of the preceding claims, and a second package comprising one ormore additional therapeutic agents.

In some aspects, the present invention provides a method of treating orpreventing a disease or a condition disclosed herein, comprisingadministering to a subject in need thereof a pharmaceutically effectiveamount of Compound A.

In some aspects, the present invention provides a pharmaceuticalformulation disclosed herein for use in the treatment or prevention of adisease or a condition disclosed herein.

In some aspects, the present invention provides a pharmaceuticalformulation disclosed herein for use in combination with one or moreadditional therapeutic agents in the treatment or prevention of adisease or a condition disclosed herein.

In some aspects, the present invention provides a combination of apharmaceutical formulation disclosed herein and one or more additionaltherapeutic agents for use in the treatment or prevention of a diseaseor a condition disclosed herein.

In some aspects, the present invention provides use of a pharmaceuticalformulation disclosed herein in the manufacture of a medicatment fortreating or preventing a disease or a condition disclosed herein.

In some aspects, the present invention provides use of a pharmaceuticalformulation disclosed herein in combination with one or more additionaltherapeutic agents in the manufacture of a medicatment for treating orpreventing a disease or a condition disclosed herein.

In some aspects, the present invention provides use of the combinationof a pharmaceutical formulation disclosed herein and one or moreadditional therapeutic agents in the manufacture of a medicatment fortreating or preventing a disease or a condition disclosed herein.

In some embodiments, the disease is a sex-hormone dependent disease. Insome embodiments, the disease is hot flushes. In some embodiments, thedisease is a weight-related disease. In some embodiments, the disease isa leptin-related disease. In some embodiments, the disease is a disorderof pregnancy. In some embodiments, the condition is one or more symptomsof the perimenopause, the menopause, or the post-menopause. In someembodiments, the condition is pathological gain of excess body fatand/or excess body weight, diabetes, hot flushes, night sweats,night-time awakening. In some embodiments, the condition is one or moresymptoms of the andropause.

In a further aspect, the invention provides a method for preparingformulations according to the invention by mixing the active ingredientwith at least one excipient.

It is a further aspect of the invention to provide a method forproducing a soft gelatin capsule comprising the steps of providing asoft gelatin capsule shell, mixing a formulation comprising Compound Aor pharmaceutically acceptable salts thereof and at least one excipient,and encapsulating the liquid formulation into the soft gelatin capsuleshell.

Unless otherwise defined, all technical and scientific terms used hereinhave the same meaning as commonly understood by one of ordinary skill inthe art to which this disclosure belongs. In the specification, thesingular forms also include the plural unless the context clearlydictates otherwise. Although methods and materials similar or equivalentto those described herein can be used in the practice or testing of thepresent disclosure, suitable methods and materials are described below.All publications, patent applications, patents and other referencesmentioned herein are incorporated by reference. The references citedherein are not admitted to be prior art to the claimed invention. In thecase of conflict, the present specification, including definitions, willcontrol. In addition, the materials, methods and examples areillustrative only and are not intended to be limiting.

In the case of conflict between the chemical structures and names of thecompounds disclosed herein, the chemical structures will control.

Other features and advantages of the disclosure will be apparent fromthe following detailed description and claims.

BRIEF DESCRIPTION OF THE FIGURES

FIG. 1 provides PK plots for individual animals and means for the hardgelatin solid dose formulation of Compound A.

FIG. 2 provides PK plots for individual animals and means for the softgelatin liquid formulation of Compound A.

DETAILED DESCRIPTION OF THE INVENTION Definitions

All numbers expressing quantities, percentages or proportions, and othernumerical values used in the specification and claims, are to beunderstood as being modified in all instances by the term “about.”

The terms “a” and “an” as used herein refer to “one or more” of theenumerated components. It will be clear to one of ordinary skill in theart that the use of the singular includes the plural unless specificallystated otherwise.

The term “sex hormone-dependent disease” as used herein refers to adisease which is exacerbated by, or caused by, excessive, inappropriateincluding lack of, imbalanced, or unregulated sex hormone production.Examples of such disease in men include, but are not limited to, benignprostatic hyperplasia (BPH), metastatic prostatic carcinoma, testicularcancer, breast cancer, androgen dependent acne, seborrhoea,hypertrichosis, male pattern baldness and in boys precocious puberty.Examples of such disease in women include, but are not limited to,endometriosis, abnormal puberty, uterine fibrosis, uterine fibroidtumor, heavy menstrual bleeding, dysfunctional uterine bleeding,hormone-dependent cancers (breast, endometrial, ovarian, uterine),hyperandrogenism, hirsutism, hypertrichosis, female androgeneticalopecia, androgen dependent acne, seborrhoea, virilization, polycysticovary syndrome (PCOS), premenstrual dysphoric disease (PMDD), HAIR-ANsyndrome (hyperandrogenism, insulin resistance and acanthosisnigricans), ovarian hyperthecosis (HAIR-AN with hyperplasia ofluteinized theca cells in ovarian stroma), other manifestations of highintraovarian androgen concentrations (e.g. follicular maturation arrest,atresia, anovulation, dysmenorrhea, dysfunctional uterine bleeding,infertility) and androgen-producing tumor (virilizing ovarian or adrenaltumor), and osteoporosis. In men and women other examples arehidradenitis suppurativa and hot flushes.

The term “weight-related disease” as used herein refers to a disease inwhich the patient suffers from a pathological excess of body fat and/orexcess body weight Examples of such disease include, but are not limitedto, genetic susceptibility to excess body weight, obesity associatedwith metabolic disorders, or a condition for which a decreased bodyweight would be of therapeutic benefit.

The term “leptin-related disease” as used herein refers to a disease inwhich the leptin levels are inappropriate, including lack of,low-levels, imbalanced, or unregulated. Examples of such disease aremetabolic disorders such as diabetes, cardiovascular disease, obesity,excessive eating, hypertension, metabolic syndrome and inflammatorydisorders.

The term “disorder of pregnancy ” as used herein means a disorderexperienced by a pregnant women. Examples of such disorder areeclampsia, pre-eclampsia, gestational diabetes mellitus, high bloodpressure, morning sickness, hyperemesis gravidarum, miscarriage, pelvicgirdle pain, and premature birth.

The term “symptom of the menopause” as used herein means a symptomassociated with the menopause which can have natural, surgical (such asbilateral oophorectomy), radiological (ie radiation therapy) or chemicalcauses. Examples of such symptoms include, but are not limited to,pathological gain of excess body fat and/or excess body weight,diabetes, fatigue, irritability, cognitive decline, hair-loss, dry skin,insomnia, sleep disturbances and night-time awakenings, anxiety anddepression, decreases in sexual desire, vaginal dryness and pain,connective tissue loss and muscle bulk reduction, bone loss, urinarysymptoms of urgency and dysuria, hot flushes, and night sweats. In someembodiments, a symptom of the menopause in women may be caused bycertain types of chemotherapy, e.g., aromatase inhibitors such asanastrozole, exemestane, letrozole and testolactone;gonadotropin-releasing hormone receptor agonists such as such asleuprolide, buserelin, histrelin, goserelin, deslorelin, nafarelin andtriptorelin; gonadotropin-releasing hormone receptor antagonists such asASP1701, elagolix, relugolix and linzagolix (OBE2109); selectiveestrogen receptor modulators (SERMs) such as bazedoxifene, clomifene,cyclofenil, tamoxifen, ormeloxifene, toremifene, raloxifene,lasofoxifene and ospemifene; selective estrogen receptor degraders(SERDs) such as fulvestrant, brilanestrant and elacestrant; CYP17A1inhibitors such as abiraterone, ketoconazole and seviteronel; andcombined androgen receptor blockers and CYP17A1 inhibitors such asgaleterone.

The term “symptom of the perimenopause” as used herein means a symptomassociated with the perimenopause which can have natural, surgical (suchas bilateral oophorectomy), radiological (ie radiation therapy) orchemical causes.

The term “symptom of the post-menopause” as used herein means a symptomassociated with the post-menopause which can have natural, surgical(such as bilateral oophorectomy), radiological (ie radiation therapy) orchemical causes.

The term “symptom of the andropause” as used herein refers to a symptomassociated with the andropause that arises from a gradual decline intestosterone levels over the years; and may also occur also due toorchiectomy or treatment for prostate cancer called androgen deprivationtherapy. Examples of such symptom are pathological gain of excess bodyfat and/or excess body weight, diabetes, fatigue, irritability,cognitive decline, hair-loss, dry skin, insomnia, sleep disturbances,night-time awakenings, anxiety and depression, decreases in sexualdesire, connective tissue loss and muscle bulk reduction, urinarysymptoms of urgency and dysuria, hot flushes and night sweats. Examplesof androgen deprivation therapy that cause a symptom of the andropausein men are gonadotropin-releasing hormone receptor agonists such as suchas leuprolide, buserelin, histrelin, goserelin, deslorelin, nafarelinand triptorelin; gonadotropin-releasing hormone receptor antagonistssuch as ASP1701, elagolix, relugolix and linzagolix (OBE2109);antiandrogens (androgen receptor blockers) such as cyproterone acetate,apalutamide, bicalutamide, darolutamide, enzalutamide, flutamide,nilutamide; CYP17A1 inhibitors such as abiraterone, ketoconazole andseviteronel; and combined androgen receptor blockers and CYP17A1inhibitors such as galeterone.

The terms “disease”, “disorder”, “condition”, and “symptom”, as usedherein, may be interchangeable and intended to have the same meaning.

The term “hot flushes” and “hot flashes”, and “vasomotor symptoms” asused herein, may be interchangeable and intended to have the samemeaning.

The terms “treatment,” “treating,”, “prevention”, and “preventing”, asused herein, refer to obtaining a desired pharmacologic, physiologic,dermatologic or cosmetic effect in the subject in need thereof. Theeffect may be prophylactic in terms of completely or partiallypreventing a condition or disease or disorder or symptom thereof and/ormay be therapeutic in terms of a partial or complete cure for acondition or disease or disorder and/or adverse symptom or effectattributable to the condition or disease or disorder. For example, theseterms may refer to any treatment or prevention of a condition or diseasein a subject in need thereof (e.g., a mammal, such as a human), andinclude: (a) preventing the condition or disease, disorder or symptomthereof from occurring in a subject which may be predisposed to thecondition or disease or disorder but has not yet been diagnosed ashaving it; (b) inhibiting the condition or disease, disorder or symptomthereof, such as, arresting its development; and (c) relieving,alleviating or ameliorating the condition or disease or disorder orsymptom thereof, such as, for example, causing regression of thecondition or disease or disorder or symptom thereof.

The term “effective amount” as used herein means that amount of a drugor a therapeutic agent or a pharmaceutical agent that will elicit thebiological or medical response of a tissue, system, animal or human thatis being sought, for instance, by a researcher, clinician orveterinarian.

The term “pharmaceutically acceptable salts” as used herein means saltssuitable for medical applications having a pharmaceutically acceptableanion or cation.

The terms “effective amount” or “sufficient amount”, as used herein,refer to an active agent, refers to the amount necessary to elicit thedesired biological response. As used herein, a “pharmaceuticallyeffective amount” or a “pharmaceutically effective dose” refers to anamount or quantity of an agent, compound, material, or compositioncontaining a compound that is at least sufficient to produce adetectable therapeutic effect. The effect can be detected by any assaymethod known in the art The precise effective amount for a subject willdepend upon the subject's body weight, size, and health; the nature andextent of the condition; and the therapeutic selected foradministration.

The term “subject” as used herein includes a mammal. The mammal can bee.g., any mammal, e.g., a human, primate, bird, mouse, rat, fowl, dog,cat, cow, horse, goat, camel, sheep or a pig. In some embodiments, themammal is a human.

The term “temporal proximity” as used herein refers to thatadministration of one therapeutic agent (e.g., Compound A or apharmaceutical formulation disclosed herein) occurs within a time periodbefore or after the administration of another therapeutic agent (e.g.,the one or more additional therapeutic agents), such that thetherapeutic effect of the one therapeutic agent overlaps with thetherapeutic effect of another therapeutic agent. In some embodiments,the therapeutic effect of the one therapeutic agent completely overlapswith the therapeutic effect of another therapeutic agent In someembodiments, “temporal proximity” means that administration of onetherapeutic agent occurs within a time period before or after theadministration of another therapeutic agent, such that there is asynergistic effect between the one therapeutic agent and the othertherapeutic agent “Temporal proximity” may vary according to variousfactors, including but not limited to, the age, gender, weight, geneticbackground, medical condition, disease history, and treatment history ofthe subject to which the therapeutic agents are to be administered; thedisease or condition to be treated or ameliorated; the therapeuticoutcome to be achieved; the dosage, dosing frequency, and dosingduration of the therapeutic agents; the pharmacokinetics andpharmacodynamics of the therapeutic agents; and the route(s) throughwhich the therapeutic agents are administered. In some embodiments,“temporal proximity” means within 15 minutes, within 30 minutes, withinan hour, within two hours, within four hours, within six hours, withineight hours, within 12 hours, within 18 hours, within 24 hours, within36 hours, within 2 days, within 3 days, within 4 days, within 5 days,within 6 days, within a week, within 2 weeks, within 3 weeks, within 4weeks, with 6 weeks, or within 8 weeks. In some embodiments, multipleadministration of one therapeutic agent can occur in temporal proximityto a single administration of another therapeutic agent In someembodiments, temporal proximity may change during a treatment cycle orwithin a dosing regimen.

The term “kit” as used herein refers to a combination of components,such as a combination of the compositions herein and another item for apurpose including, but not limited to, reconstitution, activation andinstruments/devices for delivery, administration, diagnosis andassessment of a biological activity or property. Kits optionally includeinstructions of use.

The term “excipient” as used herein refers to a solubilizer, anantioxidant or an emulsifier.

Pharmaceutical Formulations

In some embodiments, the pharmaceutical formulation of the presentdisclosure comprises Compound A or a pharmaceutically acceptable saltthereof.

In some embodiments, the weight of the pharmaceutical formulation rangesfrom about 10 mg to about 10g, from about 20 mg to about 5 g, from about50 mg to about 2 g, from about 100 mg to about 1 g, from about 200 mg toabout 800 mg, from about 300 mg to about 700 mg, from about 350 mg toabout 650 mg, from about 400 mg to about 600 mg, from about 450 mg toabout 550 mg, from about 460 mg to about 540 mg, from about 470 mg toabout 530 mg, from about 480 mg to about 520 mg, or from about 490 mg toabout 510 mg. In some embodiments, the weight of the pharmaceuticalformulation is about 500 mg.

According to some embodiments the weight of the pharmaceuticalcomposition ranges from 500 mg to 1600 mg; particularly from 800 mg to1200 mg.

In some embodiments, the concentration of Compound A or thepharmaceutically acceptable salt thereof in the pharmaceuticalformulation ranges from about 0.1% w/w to about 50% w/w, from about 0.2%w/w to about 40% w/w, from about 0.3% w/w to about 30% w/w, from about0.5% w/w to about 20% w/w, from about 0.8% w/w to about 15% w/w, or fromabout 1% w/w to about 10% w/w. Particularly, from 5% w/w to 10% w/w.

In some embodiments, the amount of Compound A or the pharmaceuticallyacceptable salt thereof in the pharmaceutical formulation ranges fromabout 1 mg to about 500 mg, from about 1 mg to about 250 mg, from about1 mg to about 100 mg, from about 2 mg to about 50 mg, from about 3 mg toabout 40 mg, from about 4 mg to about 30 mg, or from about 5 mg to about29 mg.

In some embodiments, the amount of Compound A or the pharmaceuticallyacceptable salt thereof in the pharmaceutical formulation is about 5 mg,about 6 mg, about 7 mg, about 8 mg, about 9 mg, about 10 mg, about 11mg, about 12 mg, about 13 mg, about 14 mg, about 15 mg, about 16 mg,about 17 mg, about 18 mg, about 19 mg, about 20 mg, about 21 mg, about22 mg, about 23 mg, about 24 mg, about 25 mg, about 26 mg, about 27 mg,about 28 mg, or about 29 mg.

In some embodiments, the pharmaceutical formulation of the presentdisclosure comprises Compound A.

In some embodiments, the concentration of Compound A in thepharmaceutical formulation ranges from about 0.1% w/w to about 50% w/w,from about 0.2% w/w to about 40% w/w, from about 0.3% w/w to about 30%w/w, from about 0.5% w/w to about 20% w/w, from about 0.8% w/w to about15% w/w, or from about 1% w/w to about 10% w/w.

In some embodiments, the amount of Compound A in the pharmaceuticalformulation ranges from about 1 mg to about 500 mg, from about 1 mg toabout 250 mg, from about 1 mg to about 100 mg, from about 2 mg to about50 mg, from about 3 mg to about 40 mg, from about 4 mg to about 30 mg,or from about 5 mg to about 29 mg.

In some embodiments, the amount of Compound A in the pharmaceuticalformulation is about 5 mg, about 6 mg, about 7 mg, about 8 mg, about 9mg, about 10 mg, about 11 mg, about 12 mg, about 13 mg, about 14 mg,about 15 mg, about 16 mg, about 17 mg, about 18 mg, about 19 mg, about20 mg, about 21 mg, about 22 mg, about 23 mg, about 24 mg, about 25 mg,about 26 mg, about 27 mg, about 28 mg, or about 29 mg.

In some embodiments, the amount of Compound A in the pharmaceuticalformulation ranges from 10 mg to 80 mg. Particularly, 10 mg, 25 mg, 40mg or 60 mg.

In some embodiments the daily dosage of Compound A in the pharmaceuticalformulation ranges from 25 mg to 160 mg/ day. Particularly, 25 mg, 40mg, 60 mg, 80 mg, 100 mg, 120 mg and 160 mg/day.

Examples of Compound A and pharmaceutical salts thereof include, but arenot limited to, those described in WO/2007/028654, U.S. Pat. No.8,093,242, and WO/2011/023733, the entireties of which are incorporatedherein by reference.

In some embodiments, Compound A is in a crystalline form. In someembodiments, Compound A is in a crystalline form as described inWO2011023733, e.g., having 2 theta angles occurring at 4.3±0.1, 7.9±0.1,9.8±0.1, 10.7±0.1, 10.8±0.1, 13.3±0.1, 14.0±0.1, 15.1±0.1degrees, whichcorrespond respectively to d-spacing at 20.4, 11.1, 9.0, 8.3, 8.2, 6.6,6.3 and 5.9 Angstroms (Å) (“Form 1”).

Methods for preparing Compound A and pharmaceutical salts thereofinclude, but are not limited to, those described in WO/2007/028654, U.S.Pat. No. 8,093,242, and WO/2011/023733, the entireties of which areincorporated herein by reference.

Solubilizers

In some embodiments, the pharmaceutical formulation of the presentdisclosure comprises a solubilizer.

In some embodiments, the concentration of the solubilizer ranges fromabout 70% w/w to about 99.9% w/w, from about 75% w/w to about 99.7% w/w,from about 80% w/w to about 99.5% w/w, from about 85% w/w to about 99.2%w/w, or from about 90% w/w to about 99% w/w.

In some embodiments, the concentration of the solubilizer ranges fromabout 50% w/w to about 99% w/w, from about 55% w/w to about 95% w/w,from about 60% w/w to about 90% w/w, from about 65% w/w to about 85%w/w, from about 67% w/w to about 82% w/w, or from about 69% w/w to about79% w/w.

In some embodiments, the concentration of the solubilizer ranges fromabout 35% w/w to about 95% w/w, from about 40% w/w to about 90% w/w,from about 45% w/w to about 85% w/w, from about 55% w/w to about 80%w/w, from about 60% w/w to about 75% w/w, or from about 62% w/w to about72% w/w.

In some embodiments, the concentration of the solubilizer ranges fromabout 15% w/w to about 70% w/w, from about 20% w/w to about 65% w/w,from about 25% w/w to about 60% w/w, from about 30% w/w to about 55%w/w, from about 35% w/w to about 50% w/w, or from about 37% w/w to about47% w/w.

In some embodiments, the concentration of the solubilizer ranges fromabout 15% w/w to about 60% w/w, from about 20% w/w to about 65% w/w,from about 20% w/w to about 55% w/w, from about 25% w/w to about 50%w/w, from about 30% w/w to about 45% w/w, or from about 32% w/w to about42% w/w.

In some embodiments, the concentration of the solubilizer ranges fromabout 10% w/w to about 50% w/w, from about 15% w/w to about 45% w/w,from about 20% w/w to about 40% w/w, from about 22% w/w to about 37%w/w, or from about 24% w/w to about 34% w/w.

In some embodiments, the concentration of the solubilizer ranges fromabout 5% w/w to about 40% w/w, from about 8% w/w to about 35% w/w, fromabout 10% w/w to about 30% w/w, from about 12% w/w to about 27% w/w, orfrom about 14% w/w to about 24% w/w.

In some embodiments, the concentration of the solubilizer ranges fromabout 3% w/w to about 25% w/w, from about 4% w/w to about 20% w/w, fromabout 5% w/w to about 17% w/w, from about 6% w/w to about 14% w/w, orfrom about 7% w/w to about 13% w/w.

Suitable solubilizers include, but are not limited to, any one ormixture of [with CAS numbers shown in parentheses]: Anionic emulsifyingwax [8014-38-8] also called Collone HV, Crodex A, Cyclonette Wax,Kerawax, Lanette SX, Lanette W. Benzalkonium chloride(alkyldimethyl(phenylmethyl) ammonium chloride [8001-54-5]) also calledHyamine 3500, Pentonium, Zephiran. Benzethonium chloride(N,N-Dimethyl-N-[2-[2-4-(1,1,3,3-tetramethylbutyl)phenoxy]ethoxy]ethyl]-benzene-methanaminiumchloride [121-54-0], p-diisobutylphenoxyethoxyethyl dimethyl benzylammonium chloride monohydrate [5929-09-9]). Benzyl alcohol(benzenemethanol [100-51-6]). Benzyl benzoate (benzoic acid phenylmethylester [120-51-4]). Betadex sulfobutyl ether sodium (β-cyclodextrinsulfobutylether, sodium salt [182410-00-0]) also called ADVASEP-7,Capitsol. Cetylpyridinium chloride (1-hexadecylpyridinium chloride[123-05-5], 1-hexadecylpyridinium chloride monohydrate [6004-24-6]) alsocalled Cepacol, Cepacol Chloride, Cetamiun, Dobendan, Medilave,Pristacin, Pyrisept. Cholestyramine Resin (cholestyramine [11041-12-6])also called DUOLITE AP143, Purolite A430MR. Cyclodextrins(α-cyclodextrin [10016-20-3], β-cyclodextrin [7585-39-9], γ-cyclodextrin[17465-86-0]) also called Cavitron, Encapsin, Cavamax W6 Pharma, CavamaxW7 Pharma, Cavamax W8 Pharma, E459, Kleptose). Diethylene glycolmonoethyl ether (2-(2-ethoxyethoxy)ethanol [111-90-0]) also calledCarbitol, Transcutol HP, Transcutol P. Dimethyl-β-cyclodextrin(di-O-methyl-β-cyclodextrin [51166-71-3]). Fumaric acid((E)-2-butenedioic acid [110-17-8]). Glyceryl monocaprylate(1,3-dihydroxy-2-propanyl octanoate [26402-26-6]) also called Imwitor308. Glyceryl laurate (2,3-dihyroxypropyl dodecanoate [142-18-7]) alsocalled Aldo MLD KFG, Cithrol GML, Colonial Monolaurin, Imwitor 312,Lauricidin, Lumulse GML K, Ultrapure GML. Glyceryl dilaurate(2-dodecanoyloxy-3-hydroxypropyl) dodecanoate [17598-94-6; 27638-00-2])also called Capmul GD L. Glyceryl linoleate (2,3-dihydroxypropyl(9Z,12Z)-octadeca-9,12-dienoate [2277-28-3; 26545-74-4]) also calledMaisine. Glyceryl monostearate (octadecanoic acid, monoester with1,2,3-propanetriol [31566-31-1]) also called Capmul GMO-50K, Cutina GMSV, Dermowax GMS, DUBCARE GMS, Emalex GMS, Imwitor 191, Imwitor 491,Imwitor 900, Imwitor 900K, Kessco GMS, Lonzest GMS, Myvaplex 600P,Myvatex, Protachem GMS-450, Rheodol MS-165V, Starfol GMS, Stepan GMS,Tegin 90, Tegin 503, Tegin 515, Tegin 4100, Tegin M, Ultimate GMS. Mono-and di-glycerides of fatty acids (mainly caprylic and capric) (mono- anddi-glycerides, glycerol monocaprylocaprate Type I, glycerylmonocaprlocaprate Type 1) also called Capmul MCM , Imwitor 988. Mono-,di and tri-glycerides of fatty acids [73398-61-5] also called Imwitor742. Hydroxypropyl betadex (β-cyclodextrin, 2-hydroxypropyl ether[94035-02-6; 128446-35-5]) also called Cavasol W7 HP Pharma, KleptoseHPB. Hydroxyethyl-β-cyclodextrin (β-cyclodextrin, 2-hydroxyethyl ether[98513-20-3; 128446-32-2]). Hypromellose (cellulose, 2-hydroxypropylmethyl ether [9004-65-3]) also called Anycoat C, Benecel hypromellose,BonuCel, Headcel Cellulose, Mecellose, Methocel, Metolose, Pharmacoat,Rutocel, Vivapharm HPMC. Lanolin alcohols [8027-33-6] also calledArgowax, Lanis AL, Lantrol 1780, Ritawax, Super Hartolan. Lecithin[8002-43-5; 8030-76-01; 93685-90-6] also called Coatsome NC, E322,Epikuron, Lecigran, Lipoid, Phosal 53 MCT, Phospholipon 100 H, ProKoteLSC, Sternfine, Sternpur, Topcithin, Yelkin. Linoleic acid((Z,Z)-9,12-octadecadienoic acid [60-33-3]) also called Emersol 310,Emersol 315, Pamolyn, Polylin No. 515. Meglumine(1-deoxy-1-(methylamino)-D-gluitol [6284-40-8]). Methylpyrrolidone(1-methylpyrrolidin-2-one [872-50-4]) also called M-Pyrol, Pharmasolve.Niacinamide (3-pyridinecarboxamide [98-92-0]) also called vitamin B3.Non-ionic emulsifying wax [97069-99-0] also called Collone NI, Crodex N,Emulgade 1000NI, Kerawax, Lipowax P, Masurf Emulisfying Wax, PermulginD, Polawax, Ritachol 2000, T-Wax. Oleic acid ((Z)-9-octadecenoic acid[112-80-1]) also called Crodolene, Crossential 094, Emersol, Glycon,Groco, Hy-Phi, Industrene, Metaupon, Neo-Fat, Priolene. Oleyl alcohol((Z)-9-octadecen-1-ol [143-28-2]) also called HD-Eutanol V PH, Novol,Ocenol. Phospholipids also called Coatsome, Lipoid, PhosphoLipid withspecific examples Dilauroyl phosphatidylcholine [18194-25-7] also calledCoatasome MC-2020, PhosphoLipid-DPAPC; Dimyristoyl phosphatidylcholine[18194-24-6] also called Coatasome MC-4040, Lipoid PC 14:0/14:0 (DMPC),PhospoLipid-DMPC; Dipalmitoyl phosphatidylcholine [63-89-8] also calledCoatasome MC-6060, Lipoid PC 16:0/16:0 (DPPC), PhospoLipid-DPPC;Distearoyl phosphatidylcholine [816-94-4] also called Coatasome MC-8080,Lipoid PC 18:0/18:0 (DSPC), PhospoLipid-DSPC; Dioleoylphosphatidylcholine [4235-95-4] also called Coatasome MC-8181, Lipoid PC18:1/18:1 (DOPC), PhospoLipid-DOPC; Dierucoyl phosphatidylcholine[51779-95-4] also called PhospoLipid-DERPC; Palmitoyloleoylphosphatidylcholine [26853-31-6] also called Coatasome MC-6081,PhospoLipid-POPC; Dimyristoyl phosphatidylglycerol, sodium salt[67232-80-8] also called Coatasome MG-4040LS, Lipoid PG 14:0/14:0 (DMPG), PhospoLipid-D MPG; Dipalmitoyl phosphatidylglycerol, sodium salt[67232-81-9] also called Coatasome MG-6060LS, Lipoid PG 16:0/16:0(DPPG), PhospoLipid-DPPG; Distearoyl phosphatidylglycerol, sodium salt[67232-82-0] also called Coatasome MG-8080LS, Lipoid PG 18:0/18:0(DSPG), PhospoLipid-DSPG; Dioleoyl phosphatidylglycerol, sodium salt[62700-69-0] also called Lipoid PG 18:1/18:1 (DOPG), PhospoLipid-DOPG;Palmitoyloleoyl phosphatidylglycerol, sodium salt [81490-05-3] alsocalled Lipoid PG 16:0/18:1 (POPG), PhospoLipid-POPG; Dimyristoylphosphatidylethanolamine [998-07-02] also called Coatasome ME-4040,Lipoid PE 14:0/14:0 (DMPE); Dipalmitoyl phosphatidylethanolamine[923-61-5] also called Coatasome ME-6060, Lipoid PE 16:0/16:0 (DPPE);Distearoyl phosphatidylethanolamine [1069-79-0] also called CoatasomeME-8080, Lipoid PE 18:0/18:0 (DSPE); Dioleoyl phosphatidylethanolamine[4004-05-1] also called Coatasome ME-8181, Lipoid PE 18:1/18:1 (DOPE);Dimyristoyl phosphatidic acid, sodium salt [80724-31-8] also calledCoatasome MA-4040LS; Dipalmitoyl phosphatidic acid, sodium salt[74427-52-4] also called Coatasome MA-6060LS, Lipoid PA 16:0/16:0(DPPA); Distearoyl phosphatidic acid, sodium salt [108321-18-2] alsocalled Coatasome MA-8080LS, Lipoid PA 18:0/18:0 (DSPA); Dioleoylphosphatidylserine, sodium salt [70614-14-1] also called CoatasomeMS-8181LS. Polacrilex resin [copolymer of methacrylic acid anddivinylbenzene [50602-21-6; 80892-32-6] also called Amberlite IRP-64.Poloxamers(α-hydro-ω-hydroxypoly(oxyethylene)poly(oxypropylene)poly(oxyethylene)block copolymer [9003-11-6]) also called Lutrol, Monolan, Pluracare,Pluronic, Supronic, Surfonic, Synperonic. Polymethacrylates also calledAcryl-EZE, Drugcoat, Eastacryl, Eudragit, Kollicoat MAE with specificexamples Poly(butyl methacrylate, (2-dimethylaminoethyl) methacrylate,methyl methacrylate) 1:2:1 [24938-16-7] also called Eudragit E 100,Eudragit E 12.5, Eudragit E PO; Poly(ethyl acrylate, methylmethacrylate) 2:1 [9010-88-2] also called Eudragit NE 30 D, Eudragit NE40 D, Eudragit NM 30 D; Poly(methacrylic acid, methyl methacrylate)1:1[25806-15-1] also called Eudragit L 100, Eudragit L 12.5;Poly(methacrylic acid, ethyl acrylate) 1:1 [25212-88-8] also calledAcryl-EZE 93A, Acryl-EZE MP, Eudragit L 30 D-55, Eudragit L 100-55,Eastacryl 30D, Kollicoat MAE 30 DP, Kollicoat MAE 100 P;Poly(methacrylic acid, methyl methacrylate) 1:2 [25086-15-1] also calledEudragit S 100, Eudragit S 12.5, Eudragit FS 30D; Poly(ethyl acrylate,methyl methacrylate, methacrylic) 7:3:1 [33434-24-1] also calledEudragit RL 100, Eudragit RL P0, Eudragit RL 30 D, Eudragit RL 12.5,Eudragit RS 100, Eudragit RS PO, Eudragit RS 30 D, Eudragit RS 12.5.Polyoxyethylene alkyl ethers (polyethylene glycol monocetyl ether[9004-95-9], polyethylene glycol monolauryl ether [9002-92-01],polyethylene glycol monooley [9004-98-2] ether, polyethylene glycolmonostearyl ether [9005-00-9]) also called Brij, Cremophor A, Cyclogol1000, Emalex, Emulgen, Ethosperse, Genapol, Hetoxol, Hostacerin, Jeecol,Lipocol, Lumulse, Nikkol, Procol, Ritholeth, Ritox with specificexamples Cetomacrogol 1000 also called Cresmer 1000; Polyoxyl 6cetostearyl ether also called Ceteareth 6, Cremephor A6; Polyoxyl 20cetostearyl ether also called Brij CS-20, Ceteareth 20, Cremephor A20polyether, Genapol T200, Hetoxol CS-20, Jeecol CS-20, Lipocol SC-20,Lumulse CS-20, Ritacet 20; Polyoxyl 25 cetostearyl ether also calledBrij CS25, Ceteareth 25, Cremephor A25, Hetoxol CS-25; Polyoxyl 2 cetylether also called Brij C2, Hetoxol CA-2, Jeecol CA-10, Lipocol C-2,Nikkol BC-2, Procol CA-2; Polyoxyl 10 cetyl ether also called Brij C10,Jeecol CA-10, Lipocol C-10, Nikkol BC-10TX, Procol CA-10; Polyoxyl 20cetyl ether also called Brij C20, Hetoxol CA-20, Jeecol CA-20, LipocolC-20, Nikkol BC-20TX; Polyoxyl 26 glyceryl ether also called EthosperseG-26, Genapol G-260, Glycereth-26, Hetoxide G-26, Jeechem GL-26;Polyoxyl 4 lauryl ether also called Brij L4, Ethosperse LA-4, Genapol LA040, Hetoxol LA-4, Jeecol LA-4, Lipocol L-4, Lumulse L-4, Nikkol BL-4.2,Procol LA-4; Polyoxyl 9 lauryl ether also called Brij L9, Hetoxol LA-9,Jeecol LA-9, Nikkol BL-9EX; Polyoxyl 12 lauryl ether also called HetoxolLA-12, Jeecol LA-12, Lipocol L-12, Lumulse L-12, Procol LA-12; Polyoxyl23 lauryl ether also called Brij L23, Ethosperse LA-23, Genapol LA 230,Hetoxol LA-23, Jeecol LA-23, Lipocol L-23, Lumulse L-23, Procol LA-23,Ritox 35; Polyoxyl 2 oleyl ether also called Brij O2, Genapol O 020,Jeecol OA-2, Lipocol O-2, Nikkol BO-2V, Procol OA-2, Ritoleth 2;Polyoxyl 10 oleyl ether also called Brij O10, Genapol O100, HetoxolOA-10, Jeecol OA-10, Lipocol O-10, Nikkol BO-10V, Procol OA-10, Ritoleth10; Polyoxyl 20 oleyl ether also called Brij O20, Genapol O 200, JeecolOA-20, Lipocol O-20, Nikkol BO-20V, Procol OA-20, Ritoleth 20; Polyoxyl2 stearyl ether also called Brij S2, Genapol HS 020, Hetoxol STA-2,Jeecol SA-2, Lipocol S-2, Nikkol BS-2, Procol SA-2; Polyoxyl 10 stearylether also called Brij S10, Hetoxol STA-10, Jeecol SA-10, Lipocol S-10,Procol SA-10; Polyoxyl 20 stearyl ether also called Brij S20, JeecolSA-20, Lipocol S-20; Polyoxyl 21 stearyl ether also called Brij S721,Jeecol SA-21, Lipocol S-21, Ritox 721; Polyoxyl 100 stearyl ether alsocalled Brij S100, Hetoxol STA-100, Jeecol SA-100. Polyoxyethylene castoroil derivatives (polyethoxylated castor oil [61791-12-6]) also calledAcconon, Etocas, Eumulgin, Jeechem, Kolliphor, Lipocol, Lumulse, Nikkol,Protachem, Simulsol with specific examples Polyoxyl 5 castor oil alsocalled Etocas 5, Hetoxide C-5, Jeechem CA-5, Lumulse C0-5; Polyoxyl 9castor oil also called Jeechem CA-9, Protachem CA-9; Polyoxyl 15 castoroil also called Etocas 15, Jeechem CA-15, Protochem CA-15; Polyoxyl 35castor oil also called Etocas 35, Super refined Etocas 35, Emulgin RO 35PH, Kolliphor EL, Kolliphor ELP; Polyoxyl 40 castor oil also calledAcconon CA-40, Croduret 40, Etocas 40, Eumulgin RO 40, Hetoxide C40,Jeechem CA-40, Lumulse CO-40, Marlowet R40, Nikkol CO 40TX, ProtochemCA-40; Polyoxyl 40 hydrogenated castor oil also called Croduret 40,Eumulgin HRE 40PH, Hetoxide HC40, Jeechem CAH-40, Kolliphor RH 40,Lipocol HCO-40, Lipocol LAV HCO-40, Lumulse HCO 40, Nikkol HCO 40Pharma, Protachem CAH-40; Polyoxyl 60 castor oil also called JeechemCA-60, Nikkol CO 60TX; Polyoxyl 60 hydrogenated castor oil also calledCroduret 60, Eumulgin HRE 60, Hetoxide HC60, Jeechem CAH-60, KolliphorRH 60, Lipocol HCO-60, Nikkol HCO 60, Protachem CAH-60; Polyoxyl 100castor oil also called Jeechem CA-100; Polyoxyl 100 hydrogenated castoroil also called Jeechem CA-100, Nikkol HCO 100; Polyoxyl 200 castor oilalso called Hetoxide C200, Jeechem CA200; Polyoxyl 200 hydrogenatedcastor oil also called Jeechem CAH-200. Polyoxyethylene sorbitan fattyacid esters with specific examples Polysorbate 20 (polyoxyethylene 20sorbitan monolaurate [9005-64-5]), also called Alkest TW20, ArmotanPML20, Atmer 110, Cremophor PS 20, Crillet 1, Crillet 1 HP, Crillet 1HPW, Drewmulse, Durfax 20, E432, Eumilgin SML 20, Glyosperse L-20,Hetsorb L-20E, Hodag PSML-20, Kaopan TW L120, Lamsorb SML-20, LiposorbL-20, Liposorb L-20K, Montanox 20, Nissan Nonion LT-221, Norfox SorboT20, POE-SML, Protasorb L-20-K, Ritabate 20, Sorbax PML-20, SorgenTW-20, T-Maz 20, T-Maz 20K, Protasorb L-20, Tego SML-20, Tween 20, Tween20HP, Tween 20L; Polysorbate 21 (polyoxyethylene (4) sorbitanmonolaurate [9005-64-5]) also called Crillet 11, Hodag PSML-4, ProtasorbL-5, Tween 21; Polysorbate 40 (polyoxyethylene 20 sorbitan monpalmitate[9005-66-7]) also called Atmer 112, Crillet 2, E434, Eumulgin SMP,Glyosperse S-20, Hodag-PSMP-20, Lamesorb SMP-20, Liposorb P-20, LonzestSMP-20, Montanax 40, Protosorb P-20, Ritabate 40, Sorbax PMP-20, Tween40; Polysorbate 60 (polyoxyethylene 20 sorbitan monostearate[9005-67-8]) also called Alkest TW 60, Atlas 70K, Atlas Armotan PMS 20,Cremophor PS-60, Crillet 3, Crillet 3HP, Crillet 3 Super, Drewpone 60K,Durfax 60, Durfax 60K, E435, Emrite 6125, Eumulgin SMS, Glyosperse S-20KFG, Hetsorb S-20E, Hodag PSMS-20, Hodag SVS-18, Kaopan TWS120, LamsorbSMS-20, Liposorb S-20, Liposorb S-20K, Lonzest SMS-20, Montanox 60,Nikkol TS-10, Norfox Sorbo T-60, Polycon T6OK, Protsorb S-20, Ritabate60, Sorbax PMS-20, T-Maz 60, T-max 60KHS, Tego SMS60, Tween 60, Tween60K, Tween 60 Veg, Tween 60 VS; Polysorbate 61 (polyoxyethylene (4)sorbitan monostearate [9005-67-8]) also called Crillet 31 L02, HetsorbS-4, Hodag PSMS-4, Liposorb S-4, Protasorb S-4, Tween 61, Tween 61 N,Tween 61 V, Tween 61 Veg; Polysorbate 65 (polyoxyethylene 20 sorbitantristearate [9005-71-4]) also called Alkamuls PSTS-20, Crillet 35, E436,Glyosperse TS-20 KFG, Hodag-PSTS-20, Lamsorb STS-20, Lanzet STS-20,Liposorb TS-20, Montonax 65, Protasorb STS-20, Sorbax PTS-20, T-Maz 65K,Tween 65, Tween 65K, Tween 65 V; Polysorbate 80 (polyoxyethylene 20sorbitan monooleate [9005-65-6]) also called Alkest TW 80, Atlas E,Atmer 116, Armotan PMO 20, Cremophor PS 80, Crillet 4, Crillet 4 HP,Crillet 4 Super, Crillet 50, Drewmulse POE-SMO, Drewpone 80K, Durfax 80,Durfax 80K, E433, Emrite 6120, Eumulgin SMO, Glyosperse 0-20, Hetsorb0-20E, Hodag PSMO-20, Liposorb 0-20, Liposorb O-20K, Montanox 80,Olethytan 20, Polysorbat 80, Protasorb O-20, Ritabate 80, Sepitrap 80,Tego SMO-80, Tego SMO-80V, Tween 80, Tween 80 HP, Tween 80K, Tween 80LM, Tween 80 SP, Tween 80 V, Tween 80 Veg; Polysorbate 81(polyoxyethylene (5) sorbitan monooleate [9005-65-6]) also calledCrillet 41, Hetsorb-O5E, Hodag PSMO-5, Protsorb O-5, Sorbax PMO-5, T-Maz81, Tego SMO 81, Tween 81, Tween 81N; Polysorbate 85 (polyoxyethylene 20sorbitan trioleate [9005-70-3]) also called Alkamuls PSTO-20, Atmer 118,Crillet 45, Crillet 45LD, Glyosperse TO-20, Hetsorb TO-20E, HodagPSTO-20, Liposorb TO-20, Lonzest STO-20, Montanox 85, Protasorb TO-20,Sorbax PTO-20, Tego STO 85, Tween 85, Tween 85LM, Tween 85N, Tween 85V;Polysorbate 120 (polyoxyethylene 20 sorbitan monoisostearate[66794-58-9]) also called Crillet 6. Polyoxyl 15 hydroxystearate(2-hydroxyethyl-12-hydroxyoctadecanoate [70142-34-6]) also calledSolutol HS 15. Polyoxylglycerides with specific examples Caprylocaproylpolyoxylglycerides [73398-61-5; 223129-75-7] also called caprylocaproylpolyoxyl-8 glycerides, DUBCARE GPE 810, Labrasol ALF; Lauroylpolyoxylglycerides [57107-95-6] also called lauroyl polyoxyl-6glycerides Gelucire 44/14, Labrafil M2130CS; Linoleoylpolyoxylglycerides [61789-25-1] also calledlinoleoyl polyoxyl-6glycerides, Labrafil M2125CS; Oleoyl polyoxylglycerides [68424-61-3;9004-96-0] also called oleoyl polyoxyl-6 glycerides, DUBCARE OLGA SF,Labrafil M1944CS; Stearoyl polyoxylglycerides [1323-83-7; 9005-08-07]also called stearoyl polyoxyl-32 glycerides, Gelucire 50/13, SimulsolL165 PHA. Polyvinyl acetate phthalate [34481-48-6]. Povidone(1-ethenyl-2-pyrrolidinone homopolymer [9003-39-8]) also called E1201,Kollidon, Plasdone, Povipharm. Propylene glycol dilaurate(2-dodecanoyloxypropyl dodecanoate [22788-19-9]) also called CapmulPG-2L, E477, Emalex PG di-L. Propylene glycol monolaurate(1,2-propanediol monolaurate [27194-74-7; 142-55-2]) also called CapmulPG-12, Cithrol PGML, E-477, Emalex PGML, Imwitor 412, Lauroglycol 90,Lauroglycol FCC, Schercemol PGML, STELLIESTERS LPG. Pyrrolidone(2-pyrrolidinone [616-45-5]) also called Kollisolv PYR, Soluphor P.Sodium Bicarbonate (carbonic acid monosodium salt [144-55-8]) alsocalled E500, Effer-Soda. Sodium lauryl sulfate (sulfuric acidmonododecyl ester sodium salt (1:1) [151-21-3]) also called Elfan 240,Texapon K12P. Sodium polystyrene sulfonate (divinylbenzene copolymerwith styrene, sulfonated, sodium salt [63182-08-1]) also calledAMBERLITE IRP69, Kayexalate, Kionex, Resonium A, Solystat Sorbitanesters with specific examples Sorbitan diisostearate (sorbitandiisooctadecanoate [68238-87-9]); Sorbitan dioleate ((Z,Z)-sorbitandi-9-octadecanoate [29116-98-1]); Sorbitan monoisostearate (sorbitanmonoisooctadecanoate [71902-01-7]) also called Arlacel 987, Crill 6,Montane 70; Sorbitan monolaurate (sorbitan monododecanoate [1338-39-2])also called Alkamuls SML, Arlacel 20, Armotan ML, Crill 1, Dehymuls SML,E493, Emsorb 2515, Glycomul L, Hodag SML, Liposorb L-80, Montane 20,Protachem SML, Sorbester P12, Sorbirol L, Span 20, Tego SML; Sorbitanmonooleate ((Z)-sorbitan mono-9-octadecenoate [1338-43-8]) also calledAblunol S-80, Alkamuls SMO, Arlacel 80, Armotan MO, Capmul O, Crill 4,Crill 50, Dehymuls SMO, Drewmulse SMO, Drewsorb 80K, E494, Glycomul O,Emsorb 2500, Glycomul O, Hodag SMO, Lamesorb SMO, Liposorb O, Montane80, Nikkol SO-10, Nissan nonion OP-80R, Norfox Sorbo S-80, Polycon S80K, Protosorb SMO, Protachem SMO, S-Maz 80K, Sorbester P17, Sorbirol O,Sorgen 40, Sorgen S-40-H, Span 80, Tego SMO; Sorbitan monopalmitate(sorbitan monohexadecanoate [26266-57-9])also called Ablunol S-40,Arlacel 40, Armotan MP, Crill 2, Dehymuls SMP, E495, Glycomul P, HodagSMP, Lamesorb SMP, Liposorb P, Montane 40, Nikkol SP-10, Nissan nonionPP-40R, Protachem SMP, Protosorb SMP, Sorbester P16, Sorbirol P, Span40; Sorbitan monostearate (sorbitan monooctadecanoate [1338-41-6]) alsocalled Ablunol S-60, Alkamuls SMS, Arlacel 60, Armotan MS, Atlas 110K,Capmul S, Crill 3, Dehymuls SMS, Drewmulse SMS, Drewsorb 60K, Durtan 60,Durtan 60K, E491, Famodan MS Kosher, Glycomul S FG, Glycomul S KFG,Hodag SMS, Lamesorb SMS, Liposorb S, Liposorb SC, Liposorb S-K, Montane60, Nikkol SP-60R, Norfox Sorbo S-60FG, Polycon S60K, Protachem SMS,Prote-sorb SMS, S-Maz 60K, S-Maz 60KHS, Sorbester P18, Sorbirol S,Sorgen 50, Span 60, Span 60K, Span 60 VS, Tego SMS; Sorbitansesquiisostearate (sorbitan sesquiisooctadecanoate [71812-38-9]) alsocalled Protachem SQI; Sorbitan sesquioleate ((Z)-sorbitansesqui-9-octadecanoate [8007-43-0]) also called Arlacel C, Arlacel 83,Crill 43, Glycomul SOC, Hodag SSO, Liposorb SQO, Montane 83, NikkolSO-15, Nissan nonion OP-83RAT, Protachem SOC, Sorgen 30, Sorgen 30,Sorgen S-30-H; Sorbitan sesquistearate (sorbitan sesquioctadecanoate[51938-44-4]); Sorbitan triisostearate (sorbitan triisooctadecanoate[54392-27-7]); Sorbitan trilaurate (sorbitan tridodecanoate[71217-21-5]) also called Span 25; Sorbitan trioleate ((Z,Z,Z)-sorbitantri-9-octadecenoate [26366-58-0]) also called Ablunol S-85, Arlacel 85,Crill 45, Glycomul TO, Hodag STO, Liposorb TO, Montane 85, Nissan nonionOP-85R, Protachem STO, Prote-sorb STO, S-Maz 85K, Sorbester P37, Span85, Tego STO; Sorbitan tristearate (sorbitan tri-octadecanoate[26658-19-5]) also called Alkamuls STS, Crill 35, Crill 41, Drewsorb65K, E492, Famodan TS Kosher, Glycomul TS KFG, Hodag STS, Lamesorb STS,Liposorb TS, Liposorb TS-K, Montane 65, Protachem STS, Prote-sorb STS,Sorbester P38, Span 65, Span 65K. Stearic acid (octadecanoic acid[57-11-4]) also called Crodacid E570, Cristal G, Cristal S, Dermofat4919, Dervacid, DUB CARE STEA, E570, Edenor, Emersol, Extra AS, Extra P,Extra S, Extra ST, Hystrene, Industrene, Kortacid 1895, Pearl Steric,Pristerene, Speziol L2SM GF, Stellipress Micro, Tegostearic, TriStar.Sucrose palmitate([6-[3,4-dihydroxy-2,5-bis(hydroxymethyl)oxlan-2-yl]oxy-3,4,5-trihydroxyoxan-2-yl]methylhexadecanoate [26446-38-8])) also called E473, Ryoto, Sisterna PS750-C,STELLIESTERS SE 15P, Surfhope SE Cosme, Surfhope SE Pharma. Sucrosestearate (sucrose monostearate [25168-73-4]; sucrose distearate[27195-16-0]; sucrose tristearate [27923-63-3])) also called Crodesta F,E473, Sisterna SP, STELLIESTERS SE 5S, Surfhope SE, Tegosoft TE.Tricaprylin (1,3-di(octanoyloxy)propan-2-yl octanoate [538-23-8]) alsocalled Captex 8000, Hest TC, Miglyol 808, Rofetan GTC, Trivent OC-G.Trimethyl-β-cyclodextrin (tri-O-methyl-β-cyclodextrin [55216-11-0]).Triolein (2,3-bis[[(Z)-octadec-9-enoyl]oxy]propyl (Z)-octadec-9-enoate[122-32-7] also called Captex GTO. Vitamin E polyethylene glycolsuccinate(4-O-(2-hydroxyethyl-1-O-[2,5,7,8-tetramethyl-2-(4,8,12-trimethyltridecyl)-3,4-dihydrochromen-6-yl)butanedioate[9002-96-4; 30999-06-5]) also called Speziol TPGS Pharma, VEGS.

In some embodiments, the solubilizer is selected from Caprylocaproylpolyoxyl-8 glycerides (Labrasol ALF), Glycerol Monocaprylocaprate(Capmul MCM), Polyoxyl 35 castor oil (Kolliphor EL), Polysorbate 80(Tween 80), and mixtures thereof.

In some embodiments, the solubilizer is Caprylocaproyl polyoxyl-8glycerides (Labrasol ALF).

In some embodiments, the concentration of the Caprylocaproyl polyoxyl-8glycerides (Labrasol ALF) ranges from about 70% w/w to about 99.9% w/w,from about 75% w/w to about 99.7% w/w, from about 80% w/w to about 99.5%w/w, from about 85% w/w to about 99.2% w/w, or from about 90% w/w toabout 99% w/w.

In some embodiments, the solubilizer is a mixture of GlycerolMonocaprylocaprate (Capmul MCM) and Polyoxyl 35 castor oil (KolliphorEL).

In some embodiments, the concentration of the GlycerolMonocaprylocaprate (Capmul MCM) ranges from about 50% w/w to about 99%w/w, from about 55% w/w to about 95% w/w, from about 60% w/w to about90% w/w, from about 65% w/w to about 85% w/w, from about 67% w/w toabout 82% w/w, or from about 69% w/w to about 79% w/w. In someembodiments, the concentration of the Polyoxyl 35 castor oil (KolliphorEL) ranges from about 5% w/w to about 40% w/w, from about 8% w/w toabout 35% w/w, from about 10% w/w to about 30% w/w, from about 12% w/wto about 27% w/w, or from about 14% w/w to about 24% w/w.

In some embodiments, the solubilizer is a mixture of GlycerolMonocaprylocaprate (Capmul MCM) and of the Polyoxyl 35 castor oil(Kolliphor EL), wherein the concentration of , the concentration of theMonocaprylocaprate (Capmul MCM) ranges from 67% w/w to 82% and theconcentration of the Polyoxyl 35 castor oil (Kolliphor EL) ranges fromabout 5% w/w to about 30% w/w,

In some embodiments, the solubilizer is a mixture of GlycerolMonocaprylocaprate (Capmul MCM) and Caprylocaproyl polyoxyl-8 glycerides(Labrasol ALF).

In some embodiments, the concentration of the GlycerolMonocaprylocaprate (Capmul MCM) ranges from about 35% w/w to about 95%w/w, from about 40% w/w to about 90% w/w, from about 45% w/w to about85% w/w, from about 55% w/w to about 80% w/w, from about 60% w/w toabout 75% w/w, or from about 62% w/w to about 72% w/w. In someembodiments, the concentration of the Caprylocaproyl polyoxyl-8glycerides (Labrasol ALF) ranges from about 10% w/w to about 50% w/w,from about 15% w/w to about 45% w/w, from about 20% w/w to about 40%w/w, from about 22% w/w to about 37% w/w, or from about 24% w/w to about34% w/w.

In some embodiments, the solubilizer is a mixture of GlycerolMonocaprylocaprate (Capmul MCM) and Caprylocaproyl polyoxyl-8 glycerides(Labrasol ALF), wherein the concentration of the GlycerolMonocaprylocaprate (Capmul MCM) ranges from about 40% w/w to about 75%w/w and the concentration of the Caprylocaproyl polyoxyl-8 glycerides(Labrasol ALF) ranges from 15% w/w to about 40% w/w.

In some embodiments, the solubilizer is a mixture of GlycerolMonocaprylocaprate (Capmul MCM) and Polysorbate 80 (Tween 80).

In some embodiments, the concentration of the GlycerolMonocaprylocaprate (Capmul MCM) ranges from about 15% w/w to about 70%w/w, from about 20% w/w to about 65% w/w, from about 25% w/w to about60% w/w, from about 30% w/w to about 55% w/w, from about 35% w/w toabout 50% w/w, or from about 37% w/w to about 47% w/w. In someembodiments the concentration of the Polysorbate 80 (Tween 80) rangesfrom about 3% w/w to about 25% w/w, from about 4% w/w to about 20% w/w,from about 5% w/w to about 17% w/w, from about 6% w/w to about 14% w/w,or from about 7% w/w to about 13% w/w.

In some embodiments, the solubilizer is a mixture of GlycerolMonocaprylocaprate (Capmul MCM) and Polysorbate 80 (Tween 80), whereinthe concentration of the Monocaprylocaprate (Capmul MCM) ranges from 30%w/w to 42% w/w, and the concentration of the Polysorbate 80 (Tween 80)ranges from 9% w/w to 10% w/w .

In some embodiments, the solubilizer is a mixture of GlycerolMonocaprylocaprate (Capmul MCM), Caprylocaproyl polyoxyl-8 glycerides(Labrasol ALF), and Polysorbate 80 (Tween 80).

In some embodiments, the concentration of the GlycerolMonocaprylocaprate (Capmul MCM) ranges from about 15% w/w to about 60%w/w, from about 20% w/w to about 65% w/w, from about 20% w/w to about55% w/w, from about 25% w/w to about 50% w/w, from about 30% w/w toabout 45% w/w, or from about 32% w/w to about 42% w/w. In someembodiments, the concentration of the Caprylocaproyl polyoxyl-8glycerides (Labrasol ALF) ranges from about 3% w/w to about 25% w/w,from about 4% w/w to about 20% w/w, from about 5% w/w to about 17% w/w,from about 6% w/w to about 14% w/w, or from about 7% w/w to about 13%w/w. In some embodiments, the concentration of the Polysorbate 80 (Tween80) ranges from about 3% w/w to about 25% w/w, from about 4% w/w toabout 20% w/w, from about 5% w/w to about 17% w/w, from about 6% w/w toabout 14% w/w, or from about 7% w/w to about 13% w/w.

In some embodiments, the solubilizer is a mixture of GlycerolMonocaprylocaprate (Capmul MCM), Caprylocaproyl polyoxyl-8 glycerides(Labrasol ALF), and Polysorbate 80 (Tween 80), wherein the concentrationof the Glycerol Monocaprylocaprate (Capmul MCM) ranges from 30 w/w to40% w/w, the concentration of Caprylocaproyl polyoxyl-8 glycerides(Labrasol ALF) ranges from 9% w/w to 10% w/w, the concentration of thePolysorbate 80 (Tween 80) ranges from 9% w/w to 10% w/w.

The solubilizers according to the invention are commercially available.Thus, for example Monocaprylocaprate (Capmul MCM) is available fromAbitec Corporation, Janesville, Wis., USA; Caprylocaproyl polyoxyl-8glycerides (Labrasol ALF) is available from Gattefossé, Saint Priest,France; Polysorbate 80 (Tween 80) is available from Croda Inc, MillHall, Pa., USA; and Polyoxyl 35 castor oil (Kolliphor EL) is availablefrom BASF SE, Ludwigshafen, Germany.

Emulsifiers

In some embodiments, the pharmaceutical formulation of the presentdisclosure comprises an emulsifier.

In some embodiments, the concentration of the emulsifier ranges fromabout 15% w/w to about 70% w/w, from about 20% w/w to about 65% w/w,from about 25% w/w to about 60% w/w, from about 30% w/w to about 55%w/w, from about 35% w/w to about 50% w/w, or from about 38% w/w to about48% w/w.

In some embodiments, the concentration of the emulsifier ranges fromabout 15% w/w to about 60% w/w, from about 20% w/w to about 65% w/w,from about 20% w/w to about 55% w/w, from about 25% w/w to about 50%w/w, from about 30% w/w to about 45% w/w, or from about 33% w/w to about43% w/w.

Suitable emulsifiers include, but are not limited to, any one of mixtureof [with CAS numbers shown in parentheses]: Acacia [9000-01-5]. Agar[9002-18-0]. Ammonium alginate [9005-34-9]. Ammonium glycrrhizate(α-D-glucopyranosiduric acid,(3β,20β)-20-carboxy-11-oxo-30-norlean-12-en-3-yl-2-O-β-D-glucopyranuronosyl-monoammoniumsalt; anhydrous [53956-04-0]; (α-D-glucopyranosiduric acid,(3β3,20β)-20-carboxy-11-oxo-30-norlean-12-en-3-yl-2-O-β-D-glucopyranuronosyl-,monoammonium salt; pentahydrate [1407-03-0]) also called Magnasweet.Calcium alginate [9005-35-0] also called Calginate, Kaltostat. Calciumstearate (octadecanoic acid calcium salt [1592-23-0]) also called CeasitPC, Kemistab EC-F, Synpro. Capric acid [334-48-5]. Carbomer ([9003-01-4]alternative names (carbomer 934 [9007-16-3]; carbomer homopolymer Type C[9007-17-4]; carbomer 941 [9062-04-08]; carbomer carboxypolymethylene[9007-20-9])) also called Acrypol, Acritamer, Carbopol, Pemulen, TegoCarbomer. Ceratonia (carob gum [9000-40-2]) also called Meyprofleur.Cetostearyl alcohol [67762-27-0; 8005-44-5] also called Crodacol CS90,DUB SC 20D, Kolliwax CSA, Lanette O, Speziol C16-18 Pharma, Tego Alkanol1618, Tego Alkanol 6855. Cetyl alcohol (hexadecane-1-ol [36653-82-4])also called Avol, Cachalot, Cetanol, Crodacol C70, Crodacol C90,Crodacol C95, HallStar CO-1695, Hyfatol 16-95, Kessco CA, Lanette 16,Lipocol C, Nacol 16-95, Rita CA, Speziol C16 Pharma, Tego Alkanol 16,Vegarol 1695, Vegarol 1698. Cetyl palmitate (hexadcyl hexadecanoate[540-10-3]) also called Crodamol CP, DUB CARE PC, Dynacerin CP, Estol3694, Hallstar 653, Kessco CP, Palmil C, Pelemol CP, Sabowax CP, Stepan653. Cholesterol (cholest-5-en-3β-ol [57-88-5]). Colophony((2R,3S,4S,5R,6R)-2-(hydroxymethyl)-6-[E]-3-phenylprop-2-enoxy]oxane-3,4,5-triol[8050-09-7; 8050-10-0]). Diethanolamine (2,2′-iminobisethanol[111-42-2]). Glyceryl monooleate (9-octadecenoic acid (Z), monoesterwith 1,2,3-propane-triol [25496-72-4]) also called Aldo MO, Capmul GMO,Drewmulse GMO, DUB OG, DUBCARE OG, Hallstar GMO, Inwitor 948, KesscoGMO, Ligalub, Monomuls 90-018, Peceol. Hydrogenated Palm Oil[68514-74-9; 8033-29-2] also called Cegesoft, Dynasan P60, Softisan 154.Hydroxypropyl cellulose (cellulose, 2-hydroxypropyl ether [9004-62-2])also called Aero Whip, Coatcel, Klucel, Nisso HPC. Hydroxypropyl starch[113894-92-1]). Lanolin (anhydrous lanolin [8006-54-0]) also calledCoronet, E913, Lanis, Lantrol 1650, Pharmalan, Protalan anhydrous.Lanolin, hydrous [8020-86-4]. Lauric acid (dodecanoic acid [143-07-7])also called C-1297, Hydrofol acid 1255, Hydrofol acid 1295, Hystrene9512, Kortacid 1299, Lunac L70, Neo-fat 12, Neo-fat 12-43, Ninol AA62Extra, Prifac 2920, Univol U314, Wecoline 1295. Magnesium oxide[1309-48-4] also called Descote, E530, Magcal, Magchem 100, Magnyox,Marmag, Oxymag. Medium-chain triglycerides [438544-49-1] also calledBergabest, Captex 300, Captex 355, Coconad, Crodamol GTCC, Delios,Kollisolv MCT, Labrafac CC, Labrafac Lipo, Labrafac WL1349, Miglyol 810,Miglyol 812, Myritol, Neobee M5, Nesatol, ProKote 2855, StelliestersMCT, Waglinol 3/9280. Methylcellulose (cellulose methyl ester[9004-67-5] also called Benecel, BonuCel, Cellacol, Culminal MC, E461,Mapolose, Methocel, Metolose, Rutocel A 55 RT, Tylose, Viscol. Mineraloil [8012-95-1] and lanolin alcohols [8027-33-6] also called AmercholL-101, Protalan M-16, Protalan M-26, Vilvanolin. Modified starch(includes acetylated distarch adipate [65996-63-6]; acid-treated waxycorn starch [68909-37-5]; distarch phosphate, waxy corn basis[55963-33-2]; oxidized waxy corn starch [65996-62-5]; sodium octenylsuccinate starch [66829-29-6]) also called Amprac, C*Pharm, Capsul,Clearam, Cleargum, E1401-1452, Hi-Cap, Instant Pure-Cote, Lycoat,Pure-Cote, Pure-Gel, Purity, Purity Gum, Uni-Pure. Monoethanolamine(2-aminoethanol [141-43-5]). Myristic acid (tetradecanoic acid[544-63-8] also called Edenor C14 98-100. Myristyl alcohol(tetradecan-1-ol 112-72-1]) also called Dytol R-52, Lanette Wax KS,Lorol C14-95, Loxanol V, Nacol 14-95, Nacol 14-98, Unihydag WAX-14.Octyldodecanol [5333-42-6] also called Euthanol G PH, Jarcol 1-20,Jeecol ODD, STELLIESTERS ODOL. OSA modified gum acacia [455885-22-0].Palmitic acid (hexadecanoic acid [57-10-13]) also called Edenor C1698-100, Emersol 140, Emersol 143, Hydrofol, Hystrene 9016, Industrene4516, Lunac P-95. Pectin [9000-69-5]) also called E440, Genu, UnipectineU. Polycarbophil [9003-97-8] also called Noveon AA-1. Polyoxyethylenestearates (polyoxyethylene stearate [9004-99-3]; polyoxyethylenedistearate [9005-08-7]) also called Marlosol with specific examplesPolyoxyl 2 stearate also called Hodag DGS, Lipo DGS, Lipopeg 2-DEGS;Polyoxyl 4 stearate also called Acconon 200-MS, Hodag 20-S, Lipopeg2-DEGS, Protamate 200-DPS; Polyoxyl 6 stearate also called Cerasynt 616,DUB SPEG, Kessco PEG 300 Monostearate, Lipal 300S, Lipopeg 3-S,Polystate C, Protamate 300-DPS; Polyoxyl 8 stearate also called Acconon400-MS, Cerasynt 660, Cithrol 4MS, Crodet S8, Emerest 2640, Grocor 400,Hodag 40-S, Kessco PEG-400 Monostearate, Lipopeg 4-S, Myrj 45,Pegosperse 400 MS, Protomate 400-DPS, Ritapeg 400 MS; Polyoxyl 12stearate also called Hodag 60-S, Kessco PEG-600 Monostearate, Lipopeg6-S, Pegosperse 600 MS, Protomate 600-DPS; Polyoxyl 20 stearate alsocalled Cerasynt 840, Hodag 100-S, Kessco PEG-1000 Monostearate, Lipopeg10-S, Myrj 49, Pegosperse 1000MS, Protomate 1000-DPS; Polyoxyl 30stearate also called Myrj 51; Polyoxyl 40 stearate also called CrodetS40, E431, Emerest 2672, Hodag POE (40) MS, Lipal 395, Lipopeg 39-S,Myrj 52, Protamate 2000-DPS, Ritox 52, Simusol M52; Polyoxyl 50 stearatealso called Atlas G-2153, Crodet S50, Lipal 505, Myrj 53; Polyoxyl 100stearate also called Lipopeg 100-S, Myrj 59, Protomate 4400-DPS, Ritox53; Polyoxyl 150 stearate also called Hodag 600-S, Ritox 59; Polyoxyl 4distearate also called Hodag 22-S; Polyoxyl 8 distearate also calledHodag 42-S, Kessco PEG 400 DS, Protamate 400-DS; Polyoxyl 12 distearatealso called Hodag 62-S, Kessco PEG 600 Distearate, Protamate 600-DS;Polyoxyl 32 distearate also called Hodag 154-S, Kessco PEG 1540Distearate; Polyoxyl 150 distearate also called Hodag 602-S, Kessco PEG6000 DS, Lipopeg 6000DS, Protamate 6000-DS. Potassium alginate[9005-36-1] also called Improved Kelmar, Protanal. Propylene glycolalginate [9005-37-2] also called E405, Kelcoloid, Kimiloid, ManucolEster, PGA, Profoam, TIC Pretested. Safflower glycerides [79982-97-1].Saponite [1319-41-1] also called Afrodit, Imvite 1016, Ionite P,Laponite, SapCa-1, Smectiton SA, SMI 200H, Stevensonite, Sumecton 5A, 5Y5, Veegum S6198. Sodium borate (disodium tetraborate decahydrate[1303-96-4]) also called E285. Sodium citrate dihydrate (trisodium2-hydroxypropane-1,2,3-tricarboxylate dihydrate [6132-0403]). Sodiumlactate [72-17-3] also called E325, Lacolin, Patlac, Purasal, RitalacNAL. Sodium stearate (sodium octadecenoate [822-16-2]) also calledKemilub ES, Prodhygine, STELLIESTERS SE SS. Stearyl alcohol(1-octadecanol [112-92-5]) also called Alfol 18, Cachalot, Crodacol S95,Hyfatol 18-95, Hyfatol 18-98, Kolliwax SA, Lanette 18, Lipocol S, Nacol18-94, Nacol 18-98, Nacol 18-99, Rita SA, Speziol C18 Pharma, Stearol,Stenol, Tego Alkanol 18, Vegarol 1895, Vegarol 1898. Tragacanth(tragacanth gum [9000-65-1]) also called E413. Triethanolamine(2,2′,2″-nitrilotriethanol [102-71-6]) also called Tealan. Xanthan gum[11138-66-2] also called Grindsted, Keldent, Keltrol, Rhodicare S,Rhodigel, Rhodopol, Satiaxane U, Vanzan NF, Xantural.

In some embodiments, the emulsifier is Glyceryl Monooleate (Peceol).

In some embodiments, the concentration of the Glyceryl Monooleate(Peceol) ranges from about 15% w/w to about 70% w/w, from about 20% w/wto about 65% w/w, from about 25% w/w to about 60% w/w, from about 30%w/w to about 55% w/w, from about 35% w/w to about 50% w/w, or from about38% w/w to about 48% w/w.

In some embodiments, the concentration of the Glyceryl Monooleate(Peceol) ranges from about 15% w/w to about 60% w/w, from about 20% w/wto about 65% w/w, from about 20% w/w to about 55% w/w, from about 25%w/w to about 50% w/w, from about 30% w/w to about 45% w/w, or from about33% w/w to about 43% w/w.

The emulsifiers according of the invention are commercially available.Thus, for example Glyceryl Monooleate (Peceol) is commercially availablefrom Gattefossé, Saint Priest, France.

Antioxidants

In some embodiments, the pharmaceutical formulation of the presentdisclosure comprises an antioxidant.

In some embodiments, the concentration of the antioxidant ranges fromabout 0.02% w/w to about 5% w/w, from about 0.05% w/w to about 4% w/w,from about 0.1% w/w to about 3% w/w, from about 0.2% w/w to about 2%w/w, from about 0.3% w/w to about 1.8% w/w, or from about 0.5% w/w toabout 1.5% w/w.

In some embodiments, the concentration of the antioxidant ranges fromabout 0.005% w/w to about 3% w/w, from about 0.01% w/w to about 2% w/w,from about 0.02% w/w to about 1% w/w, from about 0.05% w/w to about 0.5%w/w, from about 0.08% w/w to about 0.4% w/w, or from about 0.1% w/w toabout 0.3% w/w.

In some embodiments, the concentration of the antioxidant ranges fromabout 0.002% w/w to about 2% w/w, from about 0.005% w/w to about 1% w/w,from about 0.01% w/w to about 0.5% w/w, from about 0.02% w/w to about0.3% w/w, from about 0.03% w/w to about 0.2% w/w, or from about 0.05%w/w to about 0.15% w/w.

In some embodiments, the concentration of the antioxidant ranges fromabout 0.0005% w/w to about 1% w/w, from about 0.001% w/w to about 0.5%w/w, from about 0.002% w/w to about 0.2% w/w, from about 0.005% w/w toabout 0.1% w/w, from about 0.01% w/w to about 0.05% w/w, or from about0.02% w/w to about 0.04% w/w.

Suitable antioxidants include, but are not limited to, any one ormixture of [CAS numbers shown in parentheses]: Acetone sodium bisulfite(2-hydroxy-2-propanesulfonic acid, sodium salt [540-92-1]). Alphatocopherol (a racemic mixture(±)-(2RS,4′RS,8′RS)-2,5,7,8-tetramethyl-2-(4′,8′,12′-trimethyltridecyl)-6-chromanol[10191-41-0])—also called DL-alpha tocopherol, and the naturallyoccurring form D-alpha tocopherol (2R,4′R,8′R)-alpha-tocopherol)) alsocalled Copherol F1300, E307, Vitamin E. Ascorbic acid (L-(+)-ascorbicacid [50-81-7]) also called C-97, E300. Ascorbyl palmitate (L-ascorbicacid 6-hexdecanoate [137-66-6]) also called E304). Butylatedhydroxyanisole (BHA) (2-tert-butyl-4-methoxyphenol [25013-16-5]) alsocalled E320, Nipanox BHA, Nipantiox 1-F, Tenox BHA. Butylatedhydroxytoluene (BHT) (2,6-di-tert-butyl-4-methylphenol [128-37-0] alsocalled Agidol, Dalpac, E321, Embanox BHT, Impruvol, Ionol CP, NipanoxBHT, OHS28890, Sustane, Tenox BHT, Topanol, Vianol. Carbon dioxide[124-38-9] also called E290. Citric acid monohydrate(2-hydroxy-1,2,3-propanetricarboxylic acid monohydrate [5949-29-1] alsocalled E330. Dodecyl gallate (dodecyl 3,4,5-trihydroxybenzoate[1166-52-5]) also called E312, Nipagallin LA, Progallin LA. Erythorbicacid (D-isoascorbic acid [89-65-6]) also called E315. Ethyl oleate((Z)-9-octadecenoic acid, ethyl ester [111-62-6]) also called CrodamolEO, DUBCARE OE, Kessco Ea Histidine((S)-2-amino-3-(imidazol-4-yl)propanoic acid [71-00-1]) also calledAjipure. Malic acid (hydroxybutanedioic acid [6915-15-7;(RS)-(±)-hydroxybutanedioic acid [617-48-1]) also called E296. D-Mannose((3S,4S,5S,6R)-6-(hydroxymethyl)oxane-2,3,4,5-tetrol [3458-28-4] alsocalled MannoTab. Monothioglycerol (3-mercapto-1,2-propanediol[96-27-5]). Niacinamide (3-pyridinecarboxamide [98-92-0]). Octyl gallate(octyl 3,4,5-trihydroxybenzoate [1034-01-1]) also called E311.Phosphoric acid (orthophosphoric acid [7664-38-2]) also called E338.Potassium metabisulfite (dipotassium pyrosulfite [16731-55-8]) alsocalled E224. Propionic acid [79-09-4] also called E280. Propyl gallate(3,4,5-trihydroxybenzoic acid propyl ester [121-79-9] also called E310,Progallin P, Tenox PG. Sodium ascorbate (monosodium L-(+)-ascorbate[134-03-2] also called E301, SA-99. Sodium formaldehyde sulfoxylate([149-44-0]; sodium formaldehyde sulfoxylate dihydrate [6035-47-8]) alsocalled Rongalite. Sodium metabisulfite (sodium pyrosulfite [7681-57-4])also called E221. Sodium sulfite [7757-83-7] also called E221. Sodiumthiosulfate (sodium thiosulfate anhydrous [7772-98-7]; sodiumthiosulfate pentahydate [10102-17-7]) also called Ametox, Sodothiol,Sulfothiorine. Sulfur dioxide [7446-09-05] also called E220. Thymol([89-83-8]; m-thymol [3228-0303]) also called Flavinol, Intrasol,Medophyll.

In some embodiments, the antioxidant is selected from DL-Alphatocopherol (Vitamin E), butylated hydroxytoluene (BHT), and butylatedhydroxyanisole (BHA), and mixtures thereof.

In some embodiments, the antioxidant is butylated hydroxytoluene (BHT).

In some embodiments, the concentration of the butylated hydroxytoluene(BHT) ranges from about 0.0005% w/w to about 1% w/w, from about 0.001%w/w to about 0.5% w/w, from about 0.002% w/w to about 0.2% w/w, fromabout 0.005% w/w to about 0.1% w/w, from about 0.01% w/w to about 0.05%w/w, or from about 0.02% w/w to about 0.04% w/w.

In some embodiments, the antioxidant is butylated hydroxyanisole (BHA).

In some embodiments, the concentration of the butylated hydroxyanisole(BHA) ranges from about 0.0005% w/w to about 1% w/w, from about 0.001%w/w to about 0.5% w/w, from about 0.002% w/w to about 0.2% w/w, fromabout 0.005% w/w to about 0.1% w/w, from about 0.01% w/w to about 0.05%w/w, or from about 0.02% w/w to about 0.04% w/w.

In some embodiments, the antioxidant is DL-Alpha tocopherol (Vitamin E).

In some embodiments, the concentration of the DL-Alpha tocopherol(Vitamin E) ranges from about 0.02% w/w to about 5% w/w, from about0.05% w/w to about 4% w/w, from about 0.1% w/w to about 3% w/w, fromabout 0.2% w/w to about 2% w/w, from about 0.3% w/w to about 1.8% w/w,from about 0.5% w/w to about 1.5% w/w, or from 0.05 w/w to 1.5 w/w.

In some embodiments, the concentration of the DL-Alpha tocopherol(Vitamin E) ranges from about 0.005% w/w to about 3% w/w, from about0.01% w/w to about 2% w/w, from about 0.02% w/w to about 1% w/w, fromabout 0.05% w/w to about 0.5% w/w, from about 0.08% w/w to about 0.4%w/w, or from about 0.1% w/w to about 0.3% w/w.

In some embodiments, the concentration of the DL-Alpha tocopherol(Vitamin E) ranges from about 0.002% w/w to about 2% w/w, from about0.005% w/w to about 1% w/w, from about 0.01% w/w to about 0.5% w/w, fromabout 0.02% w/w to about 0.3% w/w, from about 0.03% w/w to about 0.2%w/w, or from about 0.05% w/w to about 0.15% w/w.

The antioxidants according to the invention are commercially available.Thus, for example DL-alpha-tocopherol (Vitamin E) is available from BASFSE, Ludwigshafen, Germany; Butylated hydroxyanisole (BHA) is availablefrom Sigma Aldrich, St Louis, Mo., USA; and Butylated hydroxytoluene(BHT) is available from Merck KGaA, Darmstadt, Germany.

In some embodiments, the pharmaceutical formulation comprises:

(a) Compound A or a pharmaceutically acceptable salt thereof; and

(b) a solubilizer selected from Caprylocaproyl polyoxyl-8 glycerides(Labrasol ALF), Glycerol Monocaprylocaprate (Capmul MCM), Polyoxyl 35castor oil (Kolliphor EL), Polysorbate 80 (Tween 80), and mixturesthereof.

In some embodiments, the pharmaceutical formulation comprises:

(a) Compound A; and

(b) a solubilizer selected from Caprylocaproyl polyoxyl-8 glycerides(Labrasol ALF), Glycerol Monocaprylocaprate (Capmul MCM), Polyoxyl 35castor oil (Kolliphor EL), Polysorbate 80 (Tween 80), and mixturesthereof.

In some embodiments, the pharmaceutical formulation comprises:

(a) Compound A or a pharmaceutically acceptable salt thereof;

(b) a solubilizer selected from Caprylocaproyl polyoxyl-8 glycerides(Labrasol ALF), Glycerol Monocaprylocaprate (Capmul MCM), Polyoxyl 35castor oil (Kolliphor EL), Polysorbate 80 (Tween 80), and mixturesthereof; and

(c) an antioxidant selected from butylated hydroxytoluene (BHT),butylated hydroxyanisole (BHA), DL-alpha tocopherol (Vitamin E), andmixtures thereof.

In some embodiments, the pharmaceutical formulation comprises:

(a) Compound A;

(b) a solubilizer selected from Caprylocaproyl polyoxyl-8 glycerides(Labrasol ALF), Glycerol Monocaprylocaprate (Capmul MCM)Polyoxyl 35castor oil (Kolliphor EL), Polysorbate 80 (Tween 80), and mixturesthereof; and

(c) an antioxidant selected from butylated hydroxytoluene (BHT),butylated hydroxyanisole (BHA), DL-alpha tocopherol (Vitamin E), andmixtures thereof.

In some embodiments, the pharmaceutical formulation comprises:

(a) Compound A or a pharmaceutically acceptable salt thereof;

(b) a solubilizer selected from Caprylocaproyl polyoxyl-8 glycerides(Labrasol ALF), Glycerol Monocaprylocaprate (Capmul MCM), Polyoxyl 35castor oil (Kolliphor EL), Polysorbate 80 (Tween 80), and mixturesthereof;

(c) an emulsifier being Glyceryl Monooleate (Peceol); and

(d) an antioxidant selected from butylated hydroxytoluene (BHT),butylated hydroxyanisole (BHA), DL-alpha tocopherol (Vitamin E), andmixtures thereof.

In some embodiments, the pharmaceutical formulation comprises:

(a) Compound A;

(b) a solubilizer selected from Caprylocaproyl polyoxyl-8 glycerides(Labrasol ALF), Glycerol Monocaprylocaprate (Capmul MCM), Polyoxyl 35castor oil (Kolliphor EL), Polysorbate 80 (Tween 80), and mixturesthereof;

(c) an emulsifier being Glyceryl Monooleate (Peceol); and

(d) an antioxidant selected from butylated hydroxytoluene (BHT),butylated hydroxyanisole (BHA), DL-alpha tocopherol (Vitamin E), andmixtures thereof.

In some embodiments, the pharmaceutical formulation comprises CompoundA, Caprylocaproyl polyoxyl-8 glycerides (Labrasol ALF), and Butylatedhydroxytoluene (BHT).

In some embodiments, the pharmaceutical formulation comprises:

(a) Compound A presented at a concentration ranging from about 0.1% w/wto about 50% w/w, from about 0.2% w/w to about 40% w/w, from about 0.3%w/w to about 30% w/w, from about 0.5% w/w to about 20% w/w, from about0.8% w/w to about 15% w/w, or from about 1% w/w to about 10% w/w;

(b) Caprylocaproyl polyoxyl-8 glycerides (Labrasol ALF) presented at aconcentration ranging from about 70% w/w to about 99.9% w/w, from about75% w/w to about 99.7% w/w, from about 80% w/w to about 99.5% w/w, fromabout 85% w/w to about 99.2% w/w, or from about 90% w/w to about 99%w/w; and

(c) Butylated hydroxytoluene (BHT) presented at a concentration rangingfrom about 0.0005% w/w to about 1% w/w, from about 0.001% w/w to about0.5% w/w, from about 0.002% w/w to about 0.2% w/w, from about 0.005% w/wto about 0.1% w/w, from about 0.01% w/w to about 0.05% w/w, or fromabout 0.02% w/w to about 0.04% w/w

In some embodiments, the pharmaceutical formulation comprises CompoundA, Glycerol Monocaprylocaprate (Capmul MCM)Polyoxyl 35 castor oil(Kolliphor EL), and butylated hydroxytoluene (BHT).

In some embodiments, the pharmaceutical formulation comprises:

(a) Compound A presented at a concentration ranging from about 0.1% w/wto about 50% w/w, from about 0.2% w/w to about 40% w/w, from about 0.3%w/w to about 30% w/w, from about 0.5% w/w to about 20% w/w, from about0.8% w/w to about 15% w/w, or from about 1% w/w to about 10% w/w;

(b1) Glycerol Monocaprylocaprate (Capmul MCM)presented at aconcentration ranging from about 50% w/w to about 99% w/w, from about55% w/w to about 95% w/w, from about 60% w/w to about 90% w/w, fromabout 65% w/w to about 85% w/w, from about 67% w/w to about 82% w/w, orfrom about 69% w/w to about 79% w/w;

(b2) Polyoxyl 35 castor oil (Kolliphor EL) presented at a concentrationranging from about 5% w/w to about 40% w/w, from about 8% w/w to about35% w/w, from about 10% w/w to about 30% w/w, from about 12% w/w toabout 27% w/w, or from about 14% w/w to about 24% w/w; and

(c) Butylated hydroxytoluene (BHT) presented at a concentration rangingfrom about 0.0005% w/w to about 1% w/w, from about 0.001% w/w to about0.5% w/w, from about 0.002% w/w to about 0.2% w/w, from about 0.005% w/wto about 0.1% w/w, from about 0.01% w/w to about 0.05% w/w, or fromabout 0.02% w/w to about 0.04% w/w.

In some embodiments, the pharmaceutical formulation comprises CompoundA, Glycerol Monocaprylocaprate (Capmul MCM), Caprylocaproyl polyoxyl-8glycerides (Labrasol ALF), and Butylated hydroxyanisole (BHA).

In some embodiments, the pharmaceutical formulation comprises:

(a) Compound A presented at a concentration ranging from about 0.1% w/wto about 50% w/w, from about 0.2% w/w to about 40% w/w, from about 0.3%w/w to about 30% w/w, from about 0.5% w/w to about 20% w/w, from about0.8% w/w to about 15% w/w, or from about 1% w/w to about 10% w/w;

(b1) Glycerol Monocaprylocaprate (Capmul MCM)presented at aconcentration ranging from about 35% w/w to about 95% w/w, from about40% w/w to about 90% w/w, from about 45% w/w to about 85% w/w, fromabout 55% w/w to about 80% w/w, from about 60% w/w to about 75% w/w, orfrom about 62% w/w to about 72% w/w;

(b2) Caprylocaproyl polyoxyl-8 glycerides (Labrasol ALF) presented at aconcentration ranging from about 10% w/w to about 50% w/w, from about15% w/w to about 45% w/w, from about 20% w/w to about 40% w/w, fromabout 22% w/w to about 37% w/w, or from about 24% w/w to about 34% w/w;and

(c) Butylated hydroxyanisole (BHA) presented at a concentration rangingfrom about 0.0005% w/w to about 1% w/w, from about 0.001% w/w to about0.5% w/w, from about 0.002% w/w to about 0.2% w/w, from about 0.005% w/wto about 0.1% w/w, from about 0.01% w/w to about 0.05% w/w, or fromabout 0.02% w/w to about 0.04% w/w.

In some embodiments, the pharmaceutical formulation comprises CompoundA, Glycerol Monocaprylocaprate (Capmul MCM), Polysorbate 80 (Tween 80),Glyceryl Monooleate (Peceol), and DL-alpha tocopherol (Vitamin E).

In some embodiments, the pharmaceutical formulation comprises:

(a) Compound A presented at a concentration ranging from about 0.1% w/wto about 50% w/w, from about 0.2% w/w to about 40% w/w, from about 0.3%w/w to about 30% w/w, from about 0.5% w/w to about 20% w/w, from about0.8% w/w to about 15% w/w, or from about 1% w/w to about 10% w/w;

(b1) Glycerol Monocaprylocaprate (Capmul MCM)presented at aconcentration ranging from about 15% w/w to about 70% w/w, from about20% w/w to about 65% w/w, from about 25% w/w to about 60% w/w, fromabout 30% w/w to about 55% w/w, from about 35% w/w to about 50% w/w, orfrom about 37% w/w to about 47% w/w;

(b2) Polysorbate 80 (Tween 80) presented at a concentration ranging fromabout 3% w/w to about 25% w/w, from about 4% w/w to about 20% w/w, fromabout 5% w/w to about 17% w/w, from about 6% w/w to about 14% w/w, orfrom about 7% w/w to about 13% w/w;

(c) Glyceryl Monooleate (Peceol) presented at a concentration rangingfrom about 15% w/w to about 70% w/w, from about 20% w/w to about 65%w/w, from about 25% w/w to about 60% w/w, from about 30% w/w to about55% w/w, from about 35% w/w to about 50% w/w, or from about 38% w/w toabout 48% w/w; and

(d) DL-Alpha tocopherol (Vitamin E) presented at a concentration rangingfrom about 0.02% w/w to about 5% w/w, from about 0.05% w/w to about 4%w/w, from about 0.1% w/w to about 3% w/w, from about 0.2% w/w to about2% w/w, from about 0.3% w/w to about 1.8% w/w, or from about 0.5% w/w toabout 1.5% w/w.

In some embodiments, the pharmaceutical formulation comprises CompoundA, Glycerol Monocaprylocaprate (Capmul MCM), Caprylocaproyl polyoxyl-8glycerides (Labrasol ALF), Polysorbate 80 (Tween 80), GlycerylMonooleate (Peceol), and DL-alpha tocopherol (Vitamin E).

In some embodiments, the pharmaceutical formulation comprises:

(a) Compound A presented at a concentration ranging about 0.1% w/w toabout 50% w/w, from about 0.2% w/w to about 40% w/w, from about 0.3% w/wto about 30% w/w, from about 0.5% w/w to about 20% w/w, from about 0.8%w/w to about 15% w/w, or from about 1% w/w to about 10% w/w;

(b1) Glycerol Monocaprylocaprate (Capmul MCM)presented at aconcentration ranging from about 15% w/w to about 60% w/w, from about20% w/w to about 65% w/w, from about 20% w/w to about 55% w/w, fromabout 25% w/w to about 50% w/w, from about 30% w/w to about 45% w/w, orfrom about 32% w/w to about 42% w/w;

(b2) Caprylocaproyl polyoxyl-8 glycerides (Labrasol ALF) presented at aconcentration ranging from about 3% w/w to about 25% w/w, from about 4%w/w to about 20% w/w, from about 5% w/w to about 17% w/w, from about 6%w/w to about 14% w/w, or from about 7% w/w to about 13% w/w;

(b3) Polysorbate 80 (Tween 80) presented at a concentration from about3% w/w to about 25% w/w, from about 4% w/w to about 20% w/w, from about5% w/w to about 17% w/w, from about 6% w/w to about 14% w/w, or fromabout 7% w/w to about 13% w/w;

(c) Glyceryl Monooleate (Peceol) presented at a concentration rangingfrom about 15% w/w to about 60% w/w, from about 20% w/w to about 65%w/w, from about 20% w/w to about 55% w/w, from about 25% w/w to about50% w/w, from about 30% w/w to about 45% w/w, or from about 33% w/w toabout 43% w/w; and

(d) DL-Alpha tocopherol (Vitamin E) presented at a concentration rangingfrom about 0.02% w/w to about 5% w/w, from about 0.05% w/w to about 4%w/w, from about 0.1% w/w to about 3% w/w, from about 0.2% w/w to about2% w/w, from about 0.3% w/w to about 1.8% w/w, or from about 0.5% w/w toabout 1.5% w/w.

In some embodiments, the pharmaceutical formulation comprises:

(a) Compound A presented at a concentration ranging about 0.1% w/w toabout 50% w/w, from about 0.2% w/w to about 40% w/w, from about 0.3% w/wto about 30% w/w, from about 0.5% w/w to about 20% w/w, from about 0.8%w/w to about 15% w/w, or from about 1% w/w to about 10% w/w;

(b1) Glycerol Monocaprylocaprate (Capmul MCM) presented at aconcentration ranging from about 15% w/w to about 60% w/w, from about20% w/w to about 65% w/w, from about 20% w/w to about 55% w/w, fromabout 25% w/w to about 50% w/w, from about 30% w/w to about 45% w/w, orfrom about 32% w/w to about 42% w/w;

(b2) Caprylocaproyl polyoxyl-8 glycerides (Labrasol ALF) presented at aconcentration ranging from about 3% w/w to about 25% w/w, from about 4%w/w to about 20% w/w, from about 5% w/w to about 17% w/w, from about 6%w/w to about 14% w/w, or from about 7% w/w to about 13% w/w;

(b3) Polysorbate 80 (Tween 80) presented at a concentration from about3% w/w to about 25% w/w, from about 4% w/w to about 20% w/w, from about5% w/w to about 17% w/w, from about 6% w/w to about 14% w/w, or fromabout 7% w/w to about 13% w/w;

(c) Glyceryl Monooleate (Peceol) presented at a concentration rangingfrom about 15% w/w to about 60% w/w, from about 20% w/w to about 65%w/w, from about 20% w/w to about 55% w/w, from about 25% w/w to about50% w/w, from about 30% w/w to about 45% w/w, or from about 33% w/w toabout 43% w/w; and

(d) DL-Alpha tocopherol (Vitamin E) presented at a concentration rangingfrom about 0.005% w/w to about 3% w/w, from about 0.01% w/w to about 2%w/w, from about 0.02% w/w to about 1% w/w, from about 0.05% w/w to about0.5% w/w, from about 0.08% w/w to about 0.4% w/w, or from about 0.1% w/wto about 0.3% w/w.

In some embodiments, the pharmaceutical formulation comprises:

(a) Compound A presented at a concentration ranging about 0.1% w/w toabout 50% w/w, from about 0.2% w/w to about 40% w/w, from about 0.3% w/wto about 30% w/w, from about 0.5% w/w to about 20% w/w, from about 0.8%w/w to about 15% w/w, or from about 1% w/w to about 10% w/w;

(b1) Glycerol Monocaprylocaprate (Capmul MCM)presented at aconcentration ranging from about 15% w/w to about 60% w/w, from about20% w/w to about 65% w/w, from about 20% w/w to about 55% w/w, fromabout 25% w/w to about 50% w/w, from about 30% w/w to about 45% w/w, orfrom about 32% w/w to about 42% w/w;

(b2) Caprylocaproyl polyoxyl-8 glycerides (Labrasol ALF) presented at aconcentration ranging from about 3% w/w to about 25% w/w, from about 4%w/w to about 20% w/w, from about 5% w/w to about 17% w/w, from about 6%w/w to about 14% w/w, or from about 7% w/w to about 13% w/w;

(b3) Polysorbate 80 (Tween 80) presented at a concentration from about3% w/w to about 25% w/w, from about 4% w/w to about 20% w/w, from about5% w/w to about 17% w/w, from about 6% w/w to about 14% w/w, or fromabout 7% w/w to about 13% w/w;

(c) Glyceryl Monooleate (Peceol) presented at a concentration rangingfrom about 15% w/w to about 60% w/w, from about 20% w/w to about 65%w/w, from about 20% w/w to about 55% w/w, from about 25% w/w to about50% w/w, from about 30% w/w to about 45% w/w, or from about 33% w/w toabout 43% w/w; and

(d) DL-Alpha tocopherol (Vitamin E) presented at a concentration rangingfrom about 0.002% w/w to about 2% w/w, from about 0.005% w/w to about 1%w/w, from about 0.01% w/w to about 0.5% w/w, from about 0.02% w/w toabout 0.3% w/w, from about 0.03% w/w to about 0.2% w/w, or from about0.05% w/w to about 0.15% w/w.

In some embodiments, the pharmaceutical formulation comprises:

(a) Compound A from about 1% w/w to about 10% w/w or from about 5%w/w toabout 10%;

(b1) Glycerol Monocaprylocaprate (Capmul MCM) presented at aconcentration ranging from about 30% w/w to about 40% w/w;

(b2) Caprylocaproyl polyoxyl-8 glycerides (Labrasol ALF) presented at aconcentration ranging from about 7% w/w to about 13% w/w;

(b3) Polysorbate 80 (Tween 80) presented at a concentration from about7% w/w to about 13% w/w;

(c) Glyceryl Monooleate (Peceol) presented at a concentration rangingfrom about 33% w/w to about 43% w/w; and

(d) DL-Alpha tocopherol (Vitamin E) presented at a concentration rangingfrom about 0.05% w/w to about 1.5% w/w or ranging from 0.5% w/v to 1.0%w/v.

Additional Therapeutic Agents

It is understood that Compound A or a pharmaceutically acceptable saltis used in combination with one or more additional therapeutic agentsfor treating or preventing a disease or condition disclosed herein.

Thus, in some embodiments, the pharmaceutical formulation of the presentdisclosure comprises Compound A or a pharmaceutically acceptable saltand the one or more additional therapeutic agents. Alternatively,Compound A or a pharmaceutically acceptable salt and the one or moreadditional therapeutic agents may be formulated in separatedpharmaceutical formulations. In some embodiments, the separatedpharmaceutical formulations may be included in a pharmaceutical kit.

Examples of suitable additional therapeutic agents include, but are notlimited to, α2-adrenergic agonists and imidazoline receptor agonistssuch as clonidine; anti-depressants including selective serotoninreuptake inhibitors (SSRIs) such as citalopram, dapoxetine,escitalopram, fluoxetine, fluvoxamine, paroxetine and sertraline, andselective serotonin-norepinephrine reuptake inhibitors (SNRIs) such asdesvenlafaxine, duloxetine, levomilnacipran, milnacipran andvenlafaxine, and serotonin modulator and stimulators (SMSs) such asvortioxetine and vilazodone, also serotonin-noradrenaline-dopaminereuptake inhibitors such as tesofensine; anti-obesity/ weight lossmedications including inverse agonists for the cannabinoid receptor CB1such as rimonabant, and MC4 receptor agonists such as bremelanotide,modimelanotide, PF-00446687, PL-6983, PL-8905, setmelanotide,and drugsthat improve glycaemic control such as insulin and long-acting forms ofthis hormone such as aspart, detemir, glargine, isophane and lispro, anddipeptidyl peptidase-4 (DPP-4) inhibitors such as anagliptin, aloglitin,dutogliptin, linagliptin, omarigliptin, saxagliptin, sitagliptin,teneligliptin, trelagliptin and vildagliptin, and GLP-1 receptoragonists such as albiglutide, dulaglutide, exenatide, liraglutide,lixisenatide and semaglutide, subtype 2 sodium-glucose transport(SGLT-2) inhibitors such as canagliflozin, dapagliflozin, empagliflozinand ipragliflozin, and glycoside hydrolase inhibitors such as acarboseand miglitol, and meglitinides such as repaglinide and nateglinide, andsulfonylureas such as glibenclamide (glyburide), glibornuride,gliclazide, glimepiride, glipizide, gliquidone, glisoxepide andglyclopyramide, and thiazolidinediones such as pioglitazone androsiglitazone, by also achieving glycaemic control by decreasing hepaticglucose production, decreasing glucose absorption and increasinginsulin-mediated glucose uptake such as metformin, andpsychostimulants/anticonvulsants such as phentermine/topiramate, andnorepinephrine-dopamine reuptake inhibitor (NDRI), nicotinic receptorantagonist/opiate antagonists such as bupropion/naltrexone, andselective serotonin 2c receptor agonists such as lorcaserin, andphosphodiesterase type-4 inhibitors such as apremilast, cilomilast,ibudilast, piclamilast and roflumilast; kappa opioid agonists such asdynorphin analogues, nalfurafine and pentazocine; aromatase inhibitorssuch as anastrozole, exemestane, letrozole and testolactone;gonadotropin-releasing hormone receptor agonists such as leuprolide,buserelin, histrelin, goserelin, deslorelin, nafarelin and triptorelin;gonadotropin-releasing hormone receptor antagonists such as ASP1707,elagolix, relugolix and linzagolix (0BE2109); and antiandrogens(androgen receptor blockers) such as cyproterone acetate, apalutamide,bicalutamide, darolutamide, enzalutamide, flutamide, nilutamide; CYP17A1inhibitors such as abiraterone, ketoconazole and seviteronel; andcombined androgen receptor blockers and CYP17A1 inhibitors such asgaleterone, and hormone replacement therapies such as estrogen-onlymedications including conjugated estrogens, estradiol, esterifiedestrogen, estropipate and synthetic conjugated estrogens; progestin-onlymedications including micronized progesterone and medroxyprogesteroneacetate; combination estrogen and progestin medicines includingestradiol/norethindrone acetate, estradiol/drospirenone,estradiol/levonorgestrel, ethinyl estradiol/norethindrone acetate,estradiol/norgestimate, conjugated estrogen/medroxyprogesterone;combination estrogen and SERMS including conjugatedestrogen/bazedoxifene; selective estrogen receptor modulators (SERMs)such as bazedoxifene, clomifene, cyclofenil, tamoxifen, ormeloxifene,toremifene, raloxifene, lasofoxifene and ospemifene; selective estrogenreceptor degraders (SERDs) such as fulvestrant, brilanestrant andelacestrant.

In some embodiments, the one or more additional therapeutic agents isselected from aromatase inhibitors such as anastrozole, exemestane,letrozole and testolactone; selective estrogen receptor modulators(SERMs) such as bazedoxifene, clomifene, cyclofenil, tamoxifen,ormeloxifene, ospemifene, toremifene, raloxifene and lasofoxifene;selective estrogen receptor degraders (SERDs) such as fulvestrant,brilanestrant and elacestrant.

In some embodiments, the one or more additional therapeutic agents isselected from drugs that improve glycaemic control such as insulin andlong-acting forms of this hormone such as aspart, detemir, glargine,isophane and lispro, and dipeptidyl peptidase-4 (DPP-4) inhibitors suchas anagliptin, aloglitin, dutogliptin, linagliptin, omarigliptin,saxagliptin, sitagliptin, teneligliptin, trelagliptin and vildagliptin,and GLP-1 receptor agonists such as albiglutide, dulaglutide, exenatide,liraglutide, lixisenatide and semaglutide, subtype 2 sodium-glucosetransport (SGLT-2) inhibitors such as canagliflozin, dapagliflozin,empagliflozin and ipragliflozin, and glycoside hydrolase inhibitors suchas acarbose and miglitol, and meglitinides such as repaglinide andnateglinide, and sulfonylureas such as glibenclamide (glyburide),glibornuride, gliclazide, glimepiride, glipizide, gliquidone,glisoxepide and glyclopyramide, and thiazolidinediones such aspioglitazone and rosiglitazone, by also achieving glycaemic control bydecreasing hepatic glucose production, decreasing glucose absorption andincreasing insulin-mediated glucose uptake such as metformin.

In some embodiments, the one or more additional therapeutic agents isselected from drugs that improve glycaemic control such as insulin andlong-acting forms of this hormone such as aspart, detemir, glargine,isophane and lispro, and Dipeptidyl peptidase-4 (DPP-4) inhibitors suchas anagliptin, aloglitin, dutogliptin, linagliptin, omarigliptin,saxagliptin, sitagliptin, teneligliptin, trelagliptin and vildagliptin,and GLP-1 receptor agonists such as albiglutide, dulaglutide, exenatide,liraglutide, lixisenatide and semaglutide; and Subtype 2 sodium-glucosetransport (SGLT-2) inhibitors such as canagliflozin, dapagliflozin,empagliflozin and ipragliflozin; and Sulfonylureas such as glibenclamide(glyburide), glibornuride, gliclazide, glimepiride, glipizide,gliquidone, glisoxepide and glyclopyramide, and and increasinginsulin-mediated glucose uptake such as metformin.

Other Aspects of the Formulation

It is understood that the pharmaceutical formulation of the presentdisclosure may be formulated for enteral/gastrointestinaladministration, parenteral administration, or topical administration. Insome embodiments, the pharmaceutical formulation of the presentdisclosure is formulated for oral administration (i.e., oralpharmaceutical formulation).

The pharmaceutical compositions for oral administration according to thepresent invention may be solid, liquid or semi-solid at ambienttemperatures, but preferably are presented as liquids. Particularlypreferred compositions of the present invention are liquid oral unitdosage forms, more preferably filled soft capsules, e. g. gelatincapsules.

In some embodiments, the pharmaceutical formulation of the presentinvention may be made using methods and techniques that are commonlyemployed in preparing such preparations within the pharmaceuticalindustry.

In some embodiments, the pharmaceutical formulation of the presentinvention may be prepared in conventional manner, for example, byappropriate mixing of the ingredients in one or more vessels, theingredients being dissolved using established pharmaceutical techniques.

In a typical procedure for the preparation of the pharmaceuticalformulation according to the present invention, the active ingredient isdissolved in the mixture of the excipients maintaining the temperatureat 30° C.-40° C. under an inert atmosphere eg nitrogen gas blanket, andunder yellow light or protected from light, until the active ingredientis completely solubilised and then stored in the sealed containers untilfurther use.

The active ingredient is selected from Compound A or a pharmaceuticallyacceptable salt thereof, or Compound A as anhydrous crystalline form(Form 1) or the active ingredient is Compound A or a pharmaceuticallyacceptable salt thereof, or Compound A as anhydrous crystalline form(Form 1) with one or more additional therapeutic agents.

Thus, the present invention also provides a method for preparing thepharmaceutical formulations according to the present invention bydissolving the active ingredient into at least of one excipient.

In some embodiments, the active ingredient is Compound A or apharmaceutically acceptable salt thereof. In some embodiments, theactive ingredient is Compound A.

In some embodiments, the active ingredient is Compound A as anhydrouscrystalline form (Form 1).

In some embodiments, the active ingredient is Compound A or apharmaceutically acceptable salt thereof, or Compound A as anhydrouscrystalline form (Form 1) with one or more additional therapeuticagents.

It is understood that, where the formulations of the invention arepresented as soft gelatin capsules, the capsule shell may suitably bemade of gelatins such as Gelatin, NF, EP and may include plasticizerssuch as anidrisorb, glycerin or sorbitol, water, preservatives,colorants(s), and opacifying agent(s) such as titanium dioxide.

The capsule may be of any shape, suitably the capsules may be elongatedsuch as ellipsoidal, oblong, oval or cylindrical with rounded ends. Insome embodiments, the capsule contains from about 1 mg to about 500 mg,from about 1 mg to about 250 mg, from about 1 mg to about 100 mg, fromabout 2 mg to about 50 mg, from about 3 mg to about 40 mg, from about 4mg to about 30 mg, or from about 5 mg to about 29 mg of Compound A. Insome embodiments, the capsule contains about 5 mg, about 6 mg, about 7mg, about 8 mg, about 9 mg, about 10 mg, about 11 mg, about 12 mg, about13 mg, about 14 mg, about 15 mg, about 16 mg, about 17 mg, about 18 mg,about 19 mg, about 20 mg, about 21 mg, about 22 mg, about 23 mg, about24 mg, about 25 mg, about 26 mg, about 27 mg, about 28 mg, or about 29mg of Compound A.

It is understood that the required amount of Compound A in thepharmaceutical formulation of the present disclosure will depend upon anumber of factors including the severity of the condition to be treatedand the age and condition of the recipient and will ultimately be at thediscretion of the attendant physician.

The soft gelatin capsule may contain different proportions of gelatin,glycerine, sorbitol sorbitan solution, and water.

It is understood that the soft gelatin capsule may be prepared bymethods and techniques that are known to a skilled artisan. For example,the soft gelatin capsule may be prepared by the rotary-die encapsulationprocess.

The rotary die process involves the continuous formation of a heat sealbetween two ribbons of gelatin, simultaneous with dosing of the fillliquid into each capsule. (J. P. Stanley, the Theory and Practice ofIndustrial Pharmacy, 3^(rd) Ed., 1986, p 398-412).

Specifically, during the encapsulation process, the gelatin receiver isstationed above the encapsulation machine. The converted gelatin mass isgravity fed through two heated gelatin hoses into heated gelatinspreader boxes. At the end of each gelatin hose is a modulator valve.The modulator valve is equipped with a diaphragm that is connected tocompressed air. A 100-micron mesh filter bag is attached at the end ofthe modulator value filtering any particulates from the gel mass. Thelevel of the gelatin within the spreader box activates a proximityswitch allowing the compressed air to close the diaphragm within themodulator valve, thereby stopping the flow of the gelatin mass. Once thelevel of gelatin in the box is reduced, the compressed air isdeactivated allowing the gelatin to flow through the modulator valve.The spreader boxes are mounted above the casting drum on each side ofthe encapsulation machine and are secured by mounting brackets. Thespreader box spreads the gelatin mass onto the casting drum evenly atthe desired thickness.

The encapsulation machine casts a thin ribbon of molten gelatin onto awater-cooled, circular casting drum that rotates at a speed directlyproportional to the machine/die speed. The gelatin ribbon is cooled onthe casting drum, then pulled off and threaded through a series ofsparge tubes, which lubricate the inside and outside of the gelatinribbon. Immediately after the gelatin ribbon is lubricated, it passesthrough the inline print unit, which applies the print logo to theribbon. Next, the gelatin ribbon is threaded through the encapsulationmachine between the wedge and the rotary dies. The wedge is positionedon top of the gelatin ribbon and the rotary dies. The wedge is utilizedto heat the gelatin ribbon before the rotary dies cut the soft gelatinshell halves. The heat from the wedge is utilized to facilitate thesealing of the two soft gelatin shell halves. Additionally, the wedge isemployed in the filling of the soft geltin capsules, via the positivedisplacement medicine pump, which doses the fill material through thewedge into the forming soft gelatin capsules.

Before starting encapsulation, several start-up in process checks areperformed. Once all parameters are within the acceptable range as perthe Master Batch Record, encapsulation process is initiated. In-processchecks are performed at regular intervals during encapsulation toexamine process responses and the results are documented. The electronicdata system automatically records the sample collecting time, in processresults, and any deviations or production events during encapsulation.The in-process checks include: fill weight, shell weight, and sealthickness (leading and trailing seals). Visual checks are performed atthe machine, including soft gelatin shape and print quality during theencapsulation process. The soft gelatin shell weights are measured andrecorded at the same time the fill weights are measured. Fill and shellweights are recorded at regular intervals with seal thickness checks(leading and trailing seals). After encapsulation, the soft gelatincapsules are tumbled until they can be spread onto shallow trays toenable capsules to cool and lose water. The shallow trays with softgelatin capsules are then dried in a drying tunnel at controlledhumidity and temperature to reduce the shell moisture content to inhibitgrowth of mold and bacteria, prevent capsules from sticking together,and provide capsule rigidity and consistent shape. The drying endpointis typically determined through hardness testing. Upon reaching anominal hardness target, soft gelatin capsules are then transferred fromshallow trays into deep trays after release from drying for bulkpacking.

Commercial manufacturing follows the same process but on a much largerscale. Timelines for production of a single batch of ˜1,000,000 softgelatin capsulescould range from 4-5 days up to 14+days, dependingprimarily on the capsule drying time stage.

Thus, the present invention provides a method for producing a softgelatin capsule comprising the steps of providing a capsule shell,mixing a formulation comprising Compound A or pharmaceuticallyacceptable salts thereof and at least one excipient, and incorporatingthe formulation into the capsule shell.

In some embodiments, the formulation comprises Compound A.

In some embodiments, the formulation is a liquid formulation. In someembodiment, the formulation is liquid and comprises Compound A.

Methods of Use

In some aspects, the present disclosure provides a method of treating orpreventing a disease or condition, comprising administering to a subjectin need thereof a pharmaceutically effective amount of Compound A or apharmaceutically acceptable salt thereof.

In some aspects, the present disclosure provides a method of treating orpreventing a disease or condition, comprising administering to a subjectin need thereof a pharmaceutically effective amount of a pharmaceuticalformulation disclosed herein.

In some embodiments, Compound A or the pharmaceutical formulationdisclosed herein is administered once daily.

In some embodiments, Compound A or the pharmaceutical formulationdisclosed herein is administered two or more times daily (e.g., two,three, four, five, six, sevel, eight, nine, or ten or more times daily).

In some embodiments, the disease is a sex-hormone dependent disease.

In some embodiments, the sex hormone-dependent diseases are selectedfrom endometriosis, uterine fibrosis, heavy menstrual bleeding,polycystic ovary syndrome (PCOS) and hot flushes.

In some embodiments, the disease is hot flushes. In some embodiments,the disease is a weight-related disease.

In some aspects, the present invention provides a method of treating orpreventing a sex hormone-dependent disease, comprising administering toa subject in need thereof a pharmaceutically effective amount of apharmaceutical formulation disclosed herein.

In some aspects, the present invention provides a method of treating orpreventing a sex hormone-dependent disease, selected from endometriosis,uterine fibrosis, heavy menstrual bleeding, polycystic ovary syndrome(PCOS) or hot flushes, comprising administering to a subject in needthereof a pharmaceutically effective amount of a pharmaceuticalformulation disclosed herein.

In some aspects, the present invention provides a method of treating orpreventing hot flushes, comprising administering to a subject in needthereof a pharmaceutically effective amount of a pharmaceuticalformulation disclosed herein.

In some embodiments, the disease is a leptin-related disease.

In some embodiments, the disease is a disorder of pregnancy.

In some aspects, the present disclosure provides a method of treating orpreventing a leptin-related disease, comprising administering to asubject in need thereof a pharmaceutically effective amount of CompoundA or a pharmaceutically acceptable salt thereof.

In some aspects, the present disclosure provides a method of treating orpreventing a disorder of pregnancy, comprising administering to asubject in need thereof a pharmaceutically effective amount of CompoundA or a pharmaceutically acceptable salt thereof.

In some embodiments, the symptoms of the perimenopause, the menopause,or the post menopause are selected from a pathological gain of excessbody fat and/or excess body weight, insomnia, sleep disturbances andnight-time awakenings, anxiety and depression, urinary symptoms ofurgency and dysuria.

In some aspects, the present disclosure provides a method of treating orpreventing symptoms of the perimenopause, the menopause, or the postmenopause selected from a pathological gain of excess body fat and/orexcess body weight, insomnia, sleep disturbances and night-timeawakenings, anxiety and depression, urinary symptoms of urgency anddysuria, comprising administering to a subject in need thereof apharmaceutically effective amount of Compound A or a pharmaceuticallyacceptable salt thereof.

In some aspects, the present invention provides a method of treating orpreventing the symptoms associated with the andropause are selected froma pathological gain of excess body fat and/or excess body weight,insomnia, sleep disturbances, night-time awakenings, anxiety anddepression, urinary symptoms of urgency and dysuria, comprisingadministering to a subject in need thereof a pharmaceutically effectiveamount of Compound A or a pharmaceutically acceptable salt thereof.

In some embodiments, Compound A or a pharmaceutically acceptable saltthereof is administered at a daily dosage ranging from about 1 mg toabout 500 mg, from about 1 mg to about 250 mg, from about 1 mg to about100 mg, from about 2 mg to about 50 mg, from about 3 mg to about 40 mg,from about 4 mg to about 30 mg, or from about 5 mg to about 29 mg.

In some embodiments, Compound A or a pharmaceutically acceptable saltthereof is administered at a daily dosage being about 5 mg, about 6 mg,about 7 mg, about 8 mg, about 9 mg, about 10 mg, about 11 mg, about 12mg, about 13 mg, about 14 mg, about 15 mg, about 16 mg, about 17 mg,about 18 mg, about 19 mg, about 20 mg, about 21 mg, about 22 mg, about23 mg, about 24 mg, about 25 mg, about 26 mg, about 27 mg, about 28 mg,or about 29 mg.

In some embodiments the daily dosage of Compound A or a pharmaceuticallyacceptable salt thereof ranges from 25 mg to 160 mg/day. Particularly,25 mg, 40 mg, 60 mg, 80 mg, 100 mg, 120 mg and 160 mg/day.

In some embodiments, the method further comprises administering to thesubject in need thereof one or more additional therapeutic agents.

In some embodiments, Compound A or the pharmaceutically acceptable saltthereof and the one or more additional therapeutic agents areadministered simultaneously.

In some embodiments, Compound A or the pharmaceutically acceptable saltthereof and the one or more additional therapeutic agents areadministered in a single pharmaceutical formulation.

In some embodiments, Compound A or the pharmaceutically acceptable saltthereof and the one or more additional therapeutic agents areadministered in separate pharmaceutical formulations.

In some embodiments, Compound A or the pharmaceutically acceptable saltthereof and the one or more additional therapeutic agents areadministered are administered in temporal proximity.

In some embodiments, Compound A or the pharmaceutically acceptable saltthereof and the one or more additional therapeutic agents areadministered are administered sequentially in either order or inalternation.

In some embodiments, Compound A or the pharmaceutically acceptable saltthereof is administered prior to the administration of the one or moreadditional therapeutic agents.

In some embodiments, the one or more additional therapeutic agents isadministered prior to the administration of Compound A or thepharmaceutically acceptable salt thereof.

In some embodiments, the pharmaceutical formulation and the one or moreadditional therapeutic agents are administered simultaneously.

In some embodiments, the pharmaceutical formulation and the one or moreadditional therapeutic agents are administered are administered intemporal proximity.

In some embodiments, the pharmaceutical formulation and the one or moreadditional therapeutic agents are administered are administeredsequentially in either order or in alternation.

In some embodiments, the pharmaceutical formulation is administeredprior to the administration of the one or more additional therapeuticagents.

In some embodiments, the one or more additional therapeutic agents isadministered prior to the administration of the pharmaceuticalformulation.

In some aspects, the present disclosure provides a pharmaceuticalformulation disclosed herein for use in the treatment or prevention of adisease or a condition disclosed herein.

In some aspects, the present invention provides a pharmaceuticalformulation disclosed herein, for use in the treatment or prevention ofa sex hormone-dependent disease.

In some aspects, the present invention provides a pharmaceuticalformulation disclosed herein, for use in the treatment or prevention ofa sex hormone-dependent disease.selected from endometriosis, uterinefibrosis, heavy menstrual bleeding, polycystic ovary syndrome (PCOS) andhot flushes.

In some aspects, the present invention provides a pharmaceuticalformulation disclosed herein, for use in the treatment or prevention ofhot flushes.

In some aspects, the present disclosure provides a pharmaceuticalformulation disclosed herein for use in combination with one or moreadditional therapeutic agents in the treatment or prevention of adisease or a condition disclosed herein.

In some aspects, the present disclosure provides a combination of apharmaceutical formulation disclosed herein and one or more additionaltherapeutic agents for use in the treatment or prevention of a diseaseor a condition disclosed herein.

In some aspects, the present disclosure provides use of a pharmaceuticalformulation disclosed herein in the manufacture of a medicatment fortreating or preventing a disease or a condition disclosed herein.

In some aspects, the present invention provides use of a pharmaceuticalformulation disclosed herein in the manufacture of a medicatment fortreating or preventing a sex hormone-dependent disease.In some aspects,the present invention provides use of a pharmaceutical formulationdisclosed herein in the manufacture of a medicatment for treating orpreventing a sex hormone-dependent disease selected from endometriosis,uterine fibrosis, heavy menstrual bleeding, polycystic ovary syndrome(PCOS) and hot flushes.

In some aspects, the present invention provides use of a pharmaceuticalformulation disclosed herein in the manufacture of a medicatment fortreating or preventing hot flushes.

In some aspects, the present disclosure provides use of a pharmaceuticalformulation disclosed herein in combination with one or more additionaltherapeutic agents in the manufacture of a medicatment for treating orpreventing a disease or a condition disclosed herein.

In some aspects, the present disclosure provides use of the combinationof a pharmaceutical formulation disclosed herein and one or moreadditional therapeutic agents in the manufacture of a medicatment fortreating or preventing a disease or a condition disclosed herein.

In some aspects, the present invention provides a use of Compound A or apharmaceutically acceptable salt thereof in the manufacture of amedicatment for treating or preventing a disease or a conditiondisclosed herein.

In some aspects, the present invention provides a use of Compound A or apharmaceutically acceptable salt thereof in the manufacture of amedicatment for treating or preventing a leptin-related disease.

In some aspects, the present invention provides a use of Compound A or apharmaceutically acceptable salt thereof in the manufacture of amedicatment for treating or preventing a disorder of pregnancy.

In some aspects, the present disclosure provides a use of Compound A ora pharmaceutically acceptable salt thereof in the manufacture of amedicatment of treating or preventing symptoms of the perimenopause, themenopause, or the post menopause selected from a pathological gain ofexcess body fat and/or excess body weight, insomnia, sleep disturbancesand night-time awakenings, anxiety and depression, urinary symptoms ofurgency and dysuria.

In some aspects, the present invention provides use of Compound A or apharmaceutically acceptable salt thereof in the manufacture of amedicatment of treating or preventing the symptoms associated with theandropause selected from a pathological gain of excess body fat and/orexcess body weight, insomnia, sleep disturbances, night-time awakenings,anxiety and depression, urinary symptoms of urgency and dysuria.

In some aspects, the present invention provides use of Compound A or apharmaceutically acceptable salt thereof in combination with one or moreadditional therapeutic agents in the manufacture of a medicatment fortreating or preventing a disease or a condition disclosed herein.

In some aspects, the present invention provides a Compound A or apharmaceutically acceptable salt thereof in the treatment or preventionof a disease or a condition disclosed herein.

In some aspects, the present invention provides Compound A or apharmaceutically acceptable salt thereof, for use in the treatment orprevention of a leptin-related disease.

In some aspects, the present invention provides Compound A or apharmaceutically acceptable salt thereof, for use in the treatment orprevention of a disorder of pregnancy.

In some aspects, the present invention provides Compound A or apharmaceutically acceptable salt thereof for use in the treatment orprevention of symptoms of the perimenopause, the menopause, or the postmenopause selected from a pathological gain of excess body fat and/orexcess body weight, insomnia, sleep disturbances and night-timeawakenings, anxiety and depression, urinary symptoms of urgency anddysuria.

In some aspects, the present invention provides Compound A or apharmaceutically acceptable salt thereof for use in the treatment orprevention of the symptoms associated with the andropause selected froma pathological gain of excess body fat and/or excess body weight,insomnia, sleep disturbances, night-time awakenings, anxiety anddepression, urinary symptoms of urgency and dysuria.

In some aspects, the present invention provides Compound A or apharmaceutically acceptable salt thereof in combination with one or moreadditional therapeutic agents for use in the treatment or prevention ofa disease or a condition disclosed herein.

Unless otherwise defined, all technical and scientific terms used hereinhave the same meaning as commonly understood by one of ordinary skill inthe art to which this invention belongs. In the specification, thesingular forms also include the plural unless the context clearlydictates otherwise. Although methods and materials similar or equivalentto those described herein can be used in the practice or testing of thepresent invention, suitable methods and materials are described below.In the case of conflict, the present specification, includingdefinitions, will control. In addition, the materials, methods andexamples are illustrative only and are not intended to be limiting.

Other features and advantages of the invention will be apparent from thefollowing detailed description and claims.

EXAMPLES

List of the abbreviations used:

NF=National Formulary; EP=European Pharmacopoeia; JP=JapanesePharmacopoeia; USP—United States Pharmacopeia

Example 1 1.1 Composition

Fill Material Amount (mg) % w/w Compound A (Form 1) 25.00 5.00 GlycerolMonocaprylocaprate 185.25 37.05 (Capmul MCM) Caprylocaproyl polyoxyl-847.50 9.50 glycerides (Labrasol ALF) Polysorbate 80 (Tween 80) 47.509.50 Glyceryl Monooleate-Peceol 190.00 38.00 DL-Alpha tocopherol(Vitamin E) 4.75 0.95 Total 500 100

1.2 Method of Preparation

118.75 grams of Labrasol ALF (pharmacopoeial grade), 118.75 grams ofTween 80 (Polysorbate 80) (pharmacopoeial grade), and 475.00 grams ofPeceol (glyceryl monooleate, NF, EP) were weighted in separate stainlesssteel containers. Peceol was placed into oven at 55° C. (range 50-60°C.) until ready for use. Under an inert atmosphere maintained bynitrogen purging, 62.5 grams of Compound A (free base crystallineform 1) was weighed out inside of an isolator directly into a separatestainless container protected from light by using yellow lighting andthen covered with foil or lid and set aside in isolator. Tween 80, EP,NF, JP and Peceol NF, EP were transferred into a Becomix 2.5 L under asteady flow of nitrogen. Under constant nitrogen purge, 463.125 grams ofCapmul MCM,EP, and 11.875 grams DL-alpha tocopherol (Vitamin E), USPwere weighed inside of isolator directly into separate stainlesscontainers under yellow light and then covered with foil or lid and setaside in isolator. Both materials were combined and mixed by hand with aspatula. The container with Vitamin E, USP was rinsed three times withCapmul MCM, EP to ensure complete transfer of this antioxidant Inside ofthe isolator (under nitrogen purge), Compound A, as anhydrouscrystalline form (Form 1), was added to mixture of Capmul MCM, EP andVitamin E, USP slowly while mixing. Once the entire dispensed Compound Awas transferred, it was mixed via an overhead laboratory mixer with asawtooth blade for not less than 15 minutes from the time transfer iscompleted and until adequately dispersed and wetted. The mixturecontaining Compound A was then transferred into the Becomix 2.5 L undera steady flow of nitrogen. Labrasol ALF (NF, EP) was used to rinse thecontainer used for the Compound A mixture (not less than 3 times) toensure complete transfer. The nitrogen flow was then turned off andvacuum was applied to the mixture. The mixture was mixed for not lessthan 60 minutes until all Compound A was visually dissolved, maintaininga temperature at 30° C.-40° C. The final product was de-aerated undervacuum for not less than 30 minutes and then stored in a sealedcontainer (protected from light) under an inert nitrogen blanket untilfurther use.

Similarly to Example 1 the following compositions (Examples 1.a-d and2-7) were prepared.

Example 1a

Amount Fill Material (mg) % w/w Compound A (Form 1) 40.0 5.00 GlycerolMonocaprylocaprate (Capmul MCM) 296.4 37.05 Caprylocaproyl polyoxyl-8glycerides (Labrasol 76.0 9.50 ALF) Polysorbate 80 (Tween 80) 76.0 9.50Glyceryl Monooleate (Peceol) 304.0 38.00 DL-Alpha tocopherol (Vitamin E)7.6 0.95 Total 800 100

Example 1b

Amount Fill Material (mg) % w/w Compound A (Form 1) 60 6.28 GlycerolMonocaprylocaprate (Capmul MCM) 351 36.7 Caprylocaproyl polyoxyl-8glycerides (Labrasol 90 9.4 ALF) Polysorbate 80 (Tween 80) 90 9.4Glyceryl Monooleate (Peceol) 360 37.7 DL-Alpha tocopherol (Vitamin E) 50.52 Total 956 100

Example 1c

Fill Material Amount (mg) % w/w Compound A (Form 1) 10.0 6.25 GlycerolMonocaprylocaprate (Capmul MCM) 58.5 36.6 Caprylocaproyl polyoxyl-8glycerides (Labrasol 15.0 9.4 ALF) Polysorbate 80 (Tween 80) 15.0 9.4Glyceryl Monooleate (Peceol) 60.0 37.5 DL-Alpha tocopherol (Vitamin E)1.5 0.94 Total 160 100

Example 1d

Fill Material Amount (mg) % w/w Compound A (Form 1) 25.00 5.05 GlycerolMonocaprylocaprate (Capmul MCM) 185.25 37.4 Caprylocaproyl polyoxyl-8glycerides (Labrasol 47.50 9.6 ALF) Polysorbate 80 (Tween 80) 47.50 9.6Glyceryl Monooleate (Peceol) 190.00 38.4 Total 495.25 100

Example 2

Fill Material Amount (mg) % w/w Compound A (Form 1) 25.00 5.00Caprylocaproyl polyoxyl-8 glycerides (Labrasol 474.85 94.97 ALF)Butylated hydroxytoluene (BHT) 0.15 0.03 Total 500 100

Example 3

Fill Material Amount (mg) % w/w Compound A (Form 1) 25.00 5.00 GlycerolMonocaprylocaprate (Capmul MCM) 379.85 75.97 Polyoxyl 35 castor oil(Kolliphor EL) 95.00 19.00 Butylated hydroxytoluene (BHT) 0.15 0.03Total 500 100

Example 4

Fill Material Amount (mg) % w/w Compound A (Form 1) 25.00 5.00Caprylocaproyl polyoxyl-8 glycerides (Labrasol 142.35 28.47 ALF)Glycerol Monocaprylocaprate (Capmul MCM) 332.50 66.50 Butylatedhydroxyanisole (BHA) 0.15 0.03 Total 500 100

Example 5

Fill Material Amount (mg) % w/w Compound A (Form 1) 25.00 5.00 GlycerolMonocaprylocaprate - (Capmul MCM) 209.00 41.80 Polysorbate 80 (Tween 80)47.50 9.50 Glyceryl Monooleate (Peceol) 213.75 42.75 DL-Alpha tocopherol(Vitamin E) 4.75 0.95 Total 500 100

Example 6

Fill Material Amount (mg) % w/w Compound A (Form 1) 25.00 5.04 GlycerolMonocaprylocaprate - (Capmul MCM) 185.25 37.34 Caprylocaproyl polyoxyl-8glycerides (Labrasol 47.50 9.57 ALF) Polysorbate 80 (Tween 80) 47.509.57 Glyceryl Monooleate (Peceol) 190.00 38.29 DL-Alpha tocopherol(Vitamin E) 0.90 0.18 Total 496.15 100

Example 7

Fill Material Amount (mg) % w/w Compound A (Form 1) 25.00 5.04 GlycerolMonocaprylocaprate (Capmul MCM) 185.25 37.34 Caprylocaproyl polyoxyl-8glycerides (Labrasol 47.50 9.57 ALF) Polysorbate 80 (Tween 80) 47.509.57 Glyceryl Monooleate (Peceol) 190.00 38.29 DL-alpha tocopherol(Vitamin E) 0.45 0.091 Total 495.70 100

Example 7a

The formulations from Examples 1, to 7 were encapsulated using acommercially available rotary-die process to produce soft gelatincapsules. Commercially available gelatin capsules were used.

Example 8. Comparative Oral PK Study Female Cynomolgus Monkeys

The comparative PK of Compound A after oral administration to femalecynomolgus monkeys of current hard gelatin capsules (50 mg/capsule) andsoft gelatin capsules containing the composition described in Example 1(25 mg/capsule) was assessed.

The composition of hard gelatin capsules (50 mg/capsule) is provided inTable 3 of this specification.

Study Protocol

Six female cynomolgus monkeys were placed into two groups of threeanimals per group. Overnight fasting (targeted between 8-10 hours) wasrequired before dosing, and food was targeted to be returned four hourspost-dosing. Water was provided ad libitum.

On Day 1, for Group 1, the desired amount of Compound A in hard gelatincapsule was dispensed at a dose level of 50 mg/animal (capsule/animal)for oral administration.

For Group 2 the desired amount of Example 1 in soft gelatin capsule softgelatin capsule was dispensed at a dose level of 25 mg/animal(capsule/animal) for oral administration.

On Day 8, for Group 1, the desired amount of Example 1 in soft gelatincapsule was dispensed ata dose level of 25 mg/animal (capsule/animal)for oral administration.

For Group 2 the desired amount of Compound A in hard gelatin capsule wasdispensed ata dose level of 50 mg/animal (capsule/animal) for oraladministration.

Blood samples were collected on Day 1 and Day 8 before starting thetreatment then 0.5, 1, 2, 3, 4, 8, 12, 24, and 48 hours after thetreatment.

Results

PK profiles of Compound A from the six female cynomolgus monkeys for thehard gelatin capsules and soft gelatin capsules are shown in FIGS. 1 and2 respectively. As can be seen from the figures, Compound A absorptionwas rapid with a tmax of 2 h for the soft gelatin capsule formulationand slightly slower and more variable for the hard gelatin capsuleformulation (tmax=3.7±2.4 h). Cmax and AUC_(0-x) exposure ratios usingthe hard gelatin capsule data as reference are shown in Table 4. Asurprising decrease in PK variability associated with the soft gelatincapsule administration was observed, as shown by the significantimprovement in the Coefficient of Variation % (CV %)s for AUC and Cmaxparameters for the soft gelatin capsules compared to the hard gelatincapsules in the study. The CV % for the soft gelatin capsules were 37.8%and 49.2% for the AUC and Cmax respectively, compared with CV %s inexcess of 210% for both these parameters with the hard gelatinformulation. The reduced variability of Compound A formulated in thesoft gelatin capsule is also very apparent when FIGS. 1 and 2 arecompared.

TABLE 4 Dose normalised Cmax and AUC values after a single 25 mg dose inmonkeys for Compound A new soft gelatin capsule formulation according tothe invention as compared with 50 mg Compound A current hard gelatincapsule formulation. AUC_(0−x)/dose (ng.hr/mL/mg) Cmax/dose (ng/mL/mg)Hard Gelatin Soft Gelatin Hard Gelatin Soft Gelatin Capsule CapsuleCapsule Capsule Mean{circumflex over ( )} 45.27 174.88 11.68 65.54 CV %210.84 37.81 217.17 49.20 {circumflex over ( )}Data shown aredose-normalised values to account for the different doses used with thetwo formulations

Example 9. Comparative Oral PK Study in Healthy Human Post-MenopausalWomen

The comparative PK of Compound A after oral administration to healthyhuman post-menopausal women as the current hard gelatin capsules (50 mgCompound A/capsule) and new formulation soft gelatin capsules containingthe composition described in Example 1 (25 mg/capsule) was assessed in aPhase 1, open label, randomised, crossover study. The composition ofhard gelatin capsules (50 mg/capsule) is provided in Table 3 of thisspecification.

Study Protocol

Thirty-six healthy human post-menopausal women volunteers each receivedthe formulations of Compound A as a single dose in treatment Periods 1and 2. The sequence of Periods 1 and 2 was randomised.

-   -   Period 1: 100 mg Compound A hard gelatin capsules (as 2×50 mg        capsules) OR 25 mg soft gelatin capsule administered after an        overnight fast    -   Period 2: 100 mg Compound A hard gelatin capsules (as 2×50 mg        capsules) OR 25 mg soft gelatin capsule administered after an        overnight fast (whichever they did not receive in Period 1)        Single doses of Compound A were administered to the subjects on        the mornings of Day 1

(Period 1) and Day 8 (Period 2). During both periods blood was sampledfor assay of Compound A prior to dosing and for up to 72 hours postdose.

Results

For both the 25 mg soft gelatin and 100 mg hard gelatin capsules, meanplasma Compound A concentrations increased rapidly, with median tmax at1 hour post-dose for the soft gelatin formulation and 1.5 hourspost-dose for the hard gelatin. Cmax and AUC₀₋₂₄ exposure PK data forboth formulations are shown in Table 5.

TABLE 5 Cmax and AUC values for Compound A new soft gelatin capsuleformulation according to the invention as compared with 100 mg CompoundA in the current hard gelatin capsule formulation. Development FormAnhydrous crystalline form (Form1) Formulation Hard gelatin capsule Softgelatin capsule Study population Post-menopausal females DoseAdministered 100 mg 25 mg N 36 36 AUC⁰⁻²⁴ Geometric 2931 786 mean(ng.hr/mL) CV % 64.7 42.1 Cmax Geometric 997 332 mean (ng/mL) CV % 69.343.1

The data shows that the noteworthy improvement in PK variability aspresented by CV % values for AUC and Cmax parameters for the softgelatin capsules compared to the hard gelatin capsules in the studycontinued to be evident The CV % for the soft gelatin were reduced tosatisfactory levels of 42.1% and 43.1% for the AUC and Cmaxrespectively, from unacceptable CV % values of 64.7% and 69.3%respectively for the hard gelatin formulation.

Example 10. PK Study with Compound A Soft Gelatin Formulation in HealthyHuman Post-Menopausal Women at Different Dose Levels

The PK of Compound A after oral administration to healthy humanpost-menopausal women, was assessed in a Phase 1, open label,randomised, crossover study at four different dose levels utilising thenew soft gelatin formulation. For this study however Compound A howeverwas formulated as a 40 mg capsule according to Example 1a.

Study Protocol

Healthy human post-menopausal women were enrolled in the studyconsisting of 11-13 subjects in each of four cohorts that were assignedto one of four dose levels of

Compound A formulated as a soft gelatin capsule as follows: Cohort 1, 40mg (1 soft gelatin capsule); Cohort 2, 80 mg (2×40 mg capsules); Cohort3, 120 mg (3×40 mg capsules); Cohort 4, 160 mg (4×40 mg capsules).Subjects were administered the capsule(s) in their respective cohorts assingle doses on the morning of Day 1 after an overnight fast. Subjectsthen each received a single dose at their assigned levels for a further7 days (Day 7) to achieve steady-state. Blood was sampled for assay ofCompound A prior to dosing and post dose at both Days 1 and 7.

Results

As previously observed mean plasma Compound A concentrations increasedrapidly, with median tmax at 1.0 to 1.5 hours post-dose for all foursoft gelatin cohorts after single and repeat daily dosing. Cmax and AUCexposure PK data for all dose groups are shown after a single dose (Day1 data) in Table 6 and repeated daily dosing (Day 7) in Table 7.

TABLE 6 Cmax and AUC values after a single oral administration on Day 1for Compound A new soft gelatin capsule formulation according to theinvention, at four different dose levels. Development Form Anhydrouscrystalline form (Form1) Formulation Soft gelatin capsule Studypopulation Post-menopausal females Dose Cohort 40 mg 80 mg 120 mg 160 mgNumber of 40 mg 1 2 3 4 capsules N 12 13 11 12 AUC⁰⁻²⁴ Geometric 15103780 7390 10400 mean (ng.hr/mL) CV % 38.7 35.6 17.3 31.0 Cmax Geometric549 1442 2541 3090 mean (ng/mL) CV % 42.4 51.9 25.6 37.8

TABLE 7 Cmax and AUC values after repeated daily oral administration onDay 7 for Compound A new soft gelatin capsule formulation according tothe invention, at four different dose levels. Development Form Anhydrouscrystalline form (Form1) Formulation Soft gelatin capsule Studypopulation Post-menopausal females Dose Cohort 40 mg 80 mg 120 mg 160 mg(1 × (2 × (3 × (4 × 40 mg 40 mg 40 mg 40 mg capsule) capsules) capsules)capsules) N 12 13 11 12 AUC⁰⁻²⁴ Geometric 2000 4950 9080 14100 mean(ng.hr/mL) CV % 37.7 38.7 26.9 38.4 Cmax Geometric 525 1302 2053 2991mean (ng/mL) CV % 37.7 37.5 45.7 36.9

A modest supra -proportional increase in exposure was observed withincreasing dose level after single and repeat daily dosing. There isalso a modest accumulation over the 7-day dosing period. What isremarkable however is the continued outstanding reduction in PKvariability (CV % values) both for AUC and Cmax parameters after asingle dose for the soft gelatin capsules (Table 6); that is notablysustained on repeated daily dosing (Table 7). The reduced CV % valuesattained at steady-state after 7-days repeated once-daily dosing withthe soft gelatin formulation are even more remarkable as they wereobtained despite multiples of the 40 mg soft gelatin capsule beingadministered to subjects each day for the 80, 120 and160 mg doses. The160 mg dose for instance required 4 x 40 mg capsules. The improvedlevels of the key parameter of PK variability achieved with the softgelatin capsule formulation compared to that for the solid dose hardgelatin capsule is fully evident as shown in Example 11.

An improvement in the other key PK parameter of bioavailability was alsoobserved with the soft gelatin capsules versus the hard gelatincapsules. The exposure achieved with the once-a-day 80 mg of Compound Ain the soft gelatin capsules at steady-state was similar to thatachieved with the ‘maximal efficacy’ 150 mg dose of Compound A in thehard gelatin capsule in the Phase 1b/2 clinical trial in post-menopausalwomen suffering moderate to severe vasomotor symptoms described (Table8), demonstrating that the desired level of therapeutic exposure can beachieved with the discovered soft gelatin formulation These data alsoonce more demonstrate the improved PK variability with the soft gelatincapsule formulation versus the hard gelatin capsule, as evidenced by thereduced CV % value of 38.7% versus unacceptable 97.8% respectively.

TABLE 8 Comparison of doses that gave similar exposures from repeateddaily oral administration of Compound A new soft gelatin capsuleformulation according to the invention versus the hard gelatin capsuleof Table 2. Compound Anhydrous crystalline form (Form1) Study populationPost-menopausal females Formulation Soft Gelatin Capsule Hard GelatinCapsule Study Phase 1 Phase 1b/2 Dose Cohort 80 mg (2 × 40 mg 150 mg (3× 50 mg capsules capsules) (Example 1a)) N 13 15 AUC_(0−tau) Geometricmean 4950 5164 (ng.hr/mL) CV % 38.7 97.8

The improvement in bioavailability observed with the soft gelatincapsule indicates that the amount of Compound A required to beformulated for efficacy is expected to be decreased by nearly 50%compared to the hard gelatin formulation, giving an additional advantageof a lower cost of goods to manufacture this drug substance.

Example 11. Demonstration of the Reduced Variability in Repeat DoseStudies with Soft Gelatin Capsule Formulation Versus Solid Dose HardGelatin Capsule Formulation

Steady-state minimum and maximum PK values (Cmax and AUC₀₋₂₄) and theirratios to each other, from the Phase 1b/2 clinical study inpost-menopausal women involving repeated dosing of the hard gelatincapsule formulation of Compound A anhydrous crystalline form (Form1)(see Table 3 for formulation), and the Phase 1 study described inExample 10 involving repeated dosing at 4 different dose levels of thesoft gelatin capsule in the same subject population, are listed in Table9, together with geometric means and CV % values.

TABLE 9 Steady-state PK data from repeat dose studies with soft gelatinand hard gelation capsules in post-menopausal females showing minimumand maximum values and their ratio to each other and CV % valuesDevelopment Form: Anhydrous crystalline form (Form1) Study populations:Post-menopausal females PK Dose Geometric Minimum Maximum RatioFormulation parameter (mg) N Mean CV % (Min) (Max) (Max:Min) Hardgelatin Cmax 50 15 522 87.9 142 1544 10.9 capsule (ng/mL) 100 14 841107.2 181 3856 21.3 doses 150 15 1188 131.2 208 5903 28.4 Steady-state300 13 2852 116.5 237 8653 36.5 Day 14 AUC₀₋₂₄ 50 15 2342 64.7 915 55406.1 (ng · hr/mL) 100 14 3542 86.3 778 10938 14.1 150 15 5164 88.7 156416163 10.3 300 13 14823 99.7 2457 79685 32.4 Soft gelatin Cmax 40 12 52537.7 294 926 3.1 capsule (ng/mL) 80 12 1302 37.5 669 2190 3.3 doses 12011 2053 45.7 840 4320 5.1 Steady-State 160 12 2991 36.9 1910 5780 3.0Day 7 AUC₀₋₂₄ 40 12 2000 37.7 1050 3700 3.5 (ng · hr/mL) 80 12 4950 38.73180 9200 2.9 120 11 9080 26.9 4730 11200 2.4 160 12 14100 38.4 852029000 3.4

The minimum and maximum ratio PK parameter data exhibited in Table 9verifies the remarkable and surprising reduction in variability of thesoft gelatin formulation of Compound A according to the inventioncompared to the solid dose hard gelatin formulation. This superiority isevident from the lower ratios for the PK parameters for the soft gelatincapsules that range from only 2.9 to 5.1, while for the hard gelatincapsules values range from 6.1 to 36.5; likewise the lower CV % valuesfor the soft gelatin capsules that range from an acceptable level of26.9% to 45.7% compared to 64.7% to 131.2% for the hard gelatincapsules.

These data together with the demonstration that therapeutic exposures ofCompound A can be achieved, confirm that the soft gelatin formulation ofCompound A according to the invention is fully suitable for furtherdevelopment from a PK parameter perspective.

Example 12. Studies Demonstrating Good Stability of Soft GelatinFormulations

The third key test that needed to be met was to demonstrate good longterm stability of the discovered soft gelatin capsule formulation. Softgelatin capsules that were produced using the compositions described inExamples 1.1 and 1a, were evaluated in a stability chamber underaccelerated stability conditions namely 40° C./75% Relative Humidity.The soft gelatin capsules from Example 1.1 were put down on stability inhigh-density polyethylene (HDPE) bottles. Those in Example 1a werepacked in alu:alu blisters. Both soft gelatin capsule formulationsshowed good stability as shown by the limited amount of total impuritiesin Example 1.1 out to 6 months and for Example 1a out to 3 months inwhich no impurities could be detected, under these accelerated stabilityconditions.

TABLE 10 Assay results for Compound A formulated as soft gelatincapsules under accelerated stability conditions Stability Time PointTime Zero 1 month 3 months 6 months Label Total Label Total Label TotalLabel Total Soft gelatin claim impurities claim impurities claimimpurities claim impurities formulation % % % % % % % % Example 1.1103.4 0.1 103.0 0.3 100.8 0.2 101.1 0.2 Example 1a 99.2 LTLOQ 99.6 LTLOQ98.6 LTLOQ DNA DNA Key: LTLOQ-Less than the limit of quantitation;DNA-data not yet available

Examination of the soft gelatin capsules from these studies also showedno evidence of recrystallization, precipitation, nor phase separation.

Therefore Compound A formulated as soft gelatin capsules demonstratedremarkably good stability under these accelerated stability environmentindicating the suitability of these compositions for manufacture,distribution and long term storage under ambient conditions.

These remarkable PK and stability data confirm that the unexpectedlydiscovered novel formulations of Compound A according to the inventionare fully suitable for further clinical development.

The above description fully discloses the invention including preferredembodiments thereof. Modifications and improvements of the embodimentsspecifically disclosed herein are within the scope of the followingclaims. Without further elaboration, it is believed that one skilled inthe art can, using the preceding description, utilize the presentinvention to its fullest extent. Therefore the Examples herein are to beconstrued as merely illustrative and not a limitation of the scope ofthe present invention in any way. The embodiments of the invention inwhich an exclusive property or privilege is claimed are defined asfollows.

1. A method of treating a symptom of the perimenopause, the menopause,the post menopause or a symptom associated with the andropausecomprising administering to a human in need thereof an effective amountof Compound of formula (A) or a pharmaceutically acceptable saltthereof.


2. The method of claim 1, wherein the symptom of the perimenopause, themenopause, or the post menopause is selected from insomnia, sleepdisturbances and night-time awakenings, depression and anxiety,decreases in sexual desire and vaginal dryness, symptoms caused bychemotherapy, urinary symptoms of urgency and dysuria, pathological gainof excess body fat and/or excess body weight.
 3. The method of claim 1,wherein the symptom of the andropause is selected from insomnia, sleepdisturbances and night-time awakenings, depression and anxiety,decreases in sexual desire, symptoms caused by chemotherapy, urinarysymptoms of urgency and dysuria, pathological gain of excess body fatand/or excess body weight.
 4. The method of claim 1, wherein theCompound of formula (A) is in a crystalline anhydrate form.
 5. Themethod of claim 1, wherein the Compound of formula (A) is in crystallineanhydrate Form 1, characterized by X-ray powder diffraction (XRD)pattern expressed in terms of 2 theta angles, wherein the XRD patterncomprises 2 theta angle peaks at 4.3±0.1, 7.9±0.1, 9.8±0.1, 10.7±0.1,10.8±0.1, 13.3±0.1, 14.0±0.1, 15.1±0.1 degrees, which correspondrespectively to d-spacing at 20.4, 11.1, 9.0, 8.3, 8.2, 6.6, 6.3 and 5.9Angstroms (Å).
 6. The method of claim 1 further comprising administeringto the subject in need thereof one or more additional therapeuticagents.
 7. The method of claim 1, wherein the Compound (A) isadministered as a soft gelatin capsule comprising: (a) Compound A or apharmaceutically acceptable salt thereof; (b) at least one solubilizerselected from caprylocaproyl polyoxyl-8 glycerides, glycerolmonocaprylocaprate, polyoxyl 35 castor oil, polysorbate 80, or mixturesthereof; and (c) at least one antioxidant selected fromdl-alpha-tocopherol, butylated hydroxytoluene, butylated hydroxyanisoleor mixtures thereof.
 8. The method of claim 1, wherein the Compound (A)is administered as a soft gelatin capsule comprising (a) Compound A or apharmaceutically acceptable salt thereof; (b) at least one solubilizerselected from caprylocaproyl polyoxyl-8 glycerides, glycerolmonocaprylocaprate, polyoxyl 35 castor oil, polysorbate 80, or mixturesthereof; (c) at least one antioxidant selected from dl-alpha-tocopherol,butylated hydroxytoluene, butylated hydroxyanisole or mixtures thereof;and (d) at least one emulsifier selected from glyceryl monooleate,Miglyol 812, or a mixture thereof.
 9. The method of claim 7, whereinCompound A is present in the soft gelatin capsule in an amount from 10mg to 80 mg.
 10. The method of claim 8, wherein Compound A is present inthe soft gelatin capsule in an amount from 10 mg to 80 mg.
 11. Themethod of claim 7, wherein Compound A is present in the soft gelatincapsule at a concentration ranging from 0.8% w/w to 15% w/w or from 5%w/w to 10% w/w.
 12. The method of claim 8, wherein Compound A is presentin the soft gelatin capsule at a concentration ranging from 0.8% w/w to15% w/w or from 5% w/w to 10% w/w.
 13. The method of claim 7, wherein atleast one solubilizer is selected from glycerol monocaprylocaprate,caprylocaproyl polyoxyl-8 glycerides, or polysorbate
 80. 14. The methodof claim 8, wherein at least one solubilizer is selected from glycerolmonocaprylocaprate, caprylocaproyl polyoxyl-8 glycerides, or polysorbate80.
 15. The method of claim 8, wherein the at least one emulsifier isglyceryl monooleate.
 16. The method of claim 7, wherein at least oneantioxidant is dl-alpha-tocopherol.
 17. The method of claim 8, whereinat least one antioxidant is dl-alpha-tocopherol.
 18. The method of claim1, wherein the Compound (A) is administered as a soft gelatin capsulecomprising: (a) Compound A; (b1) glycerol monocaprylocaprate; (b2)caprylocaproyl polyoxyl-8-glycerides; (b3) polysorbate 80; and (c)dl-alpha-tocopherol.
 19. The method of claim 1, wherein the Compound (A)is administered as a soft gelatin capsule comprising: (a) Compound A;(b1) glycerol monocaprylocaprate; (b2) caprylocaproylpolyoxyl-8-glycerides; (b3) polysorbate 80; (c) dl-alpha-tocopherol; and(d) glyceryl monooleate.
 20. The method of claim 13, wherein glycerolmonocaprylocaprate is present in the soft gelatin capsule at aconcentration ranging from 20% w/w to 65% w/w.
 21. The method of claim14, wherein glycerol monocaprylocaprate is present in the soft gelatincapsule at a concentration ranging from 20% w/w to 65% w/w.
 22. Themethod of claim 13, wherein caprylocaproyl polyoxyl-8 glycerides ispresent in the soft gelatin capsule at a concentration ranging from 7%w/w to 13% w/w.
 23. The method of claim 14, wherein caprylocaproylpolyoxyl-8 glycerides is present in the soft gelatin capsule at aconcentration ranging from 7% w/w to 13% w/w.
 24. The method of claim13, wherein polysorbate 80 is present in the soft gelatin capsule at aconcentration from 7% w/w to 13% w/w.
 25. The method of claim 14,wherein polysorbate 80 is present in the soft gelatin capsule at aconcentration from 7% w/w to 13% w/w.
 26. The method of claim 15,wherein glyceryl monooleate is present in the soft gelatin capsule at aconcentration ranging from 15% w/w to 60% w/w.
 27. The method of claim16, wherein dl-alpha-tocopherol is present in the soft gelatin capsuleat a concentration ranging from 0.05% w/w to 1.5% w/w.
 28. The method ofclaim 17, wherein dl-alpha-tocopherol is present in the soft gelatincapsule at a concentration ranging from 0.05% w/w to 1.5% w/w.
 29. Themethod of claim 1, wherein the Compound (A) is administered as a softgelatin capsule comprising: (a) Compound A present at a concentrationranging from 5% w/w to 10% w/w; (b1) glycerol monocaprylocaprate presentat a concentration ranging from 20% w/w to 65% w/w; (b2) caprylocaproylpolyoxyl-8 glycerides present at a concentration ranging from 7% w/w to13% w/w; (b3) polysorbate 80 present at a concentration from 7% w/w to13% w/w; (c) dl-alpha-tocopherol present at a concentration ranging from0.5% w/w to 1% w/w and (d) glyceryl monooleate.
 30. The method of claim29, wherein the Compound A is administered as a soft gelatin capsulebeing prepared by a method comprising adding Compound A to a mixturecomprising 15% w/w to 60% w/w glyceryl monooleate, glycerolmonocaprylocaprate, caprylocaproyl polyoxyl-8 glycerides, polysorbate80, or dl-alpha-tocopherol.
 31. The method of claim 1, wherein theCompound A is administered as a soft gelatin capsule comprising: a)Compound A present at a concentration ranging from 5% w/w to 10% w/w;(b1) glycerol monocaprylocaprate present at a concentration ranging from20% w/w to 65% w/w; (b2) caprylocaproyl polyoxyl-8 glycerides present ata concentration ranging from 7% w/w to 13% w/w; (b3) polysorbate 80present at a concentration from 7% w/w to 13% w/w; (c)dl-alpha-tocopherol present at a concentration ranging from 0.5% w/w to1% w/w; and (d) glyceryl monooleate present at a concentration rangingfrom 15% w/w to 60% w/w.
 32. The method of claim 1, wherein the Compound(A) is administered as a soft gelatin capsule comprising: (a) Compound Apresent at a concentration ranging from 1% w/w to 10% w/w; (b1) glycerolmonocaprylocaprate present at a concentration ranging 30% w/w to 40%w/w; (b2) caprylocaproyl polyoxyl-8 glycerides present at aconcentration ranging from 7% w/w to 13% w/w; (b3) polysorbate 80present at a concentration from 7% w/w to 13% w/w; (c)dl-alpha-tocopherol present at a concentration ranging from 0.5% w/w to1% w/w; and (d) glyceryl monooleate.
 33. The method of claim 32, whereinthe Compound A is administered as a soft gelatin capsule being preparedby a method comprising adding Compound A to a mixture comprising 33% w/wto 43% w/w glyceryl monooleate, glycerol monocaprylocaprate,caprylocaproyl polyoxyl-8 glycerides, polysorbate 80, ordl-alpha-tocopherol.
 34. The method of claim 1, wherein the Compound Ais administered as a soft gelatin capsule comprising: a) Compound Apresent at a concentration ranging from 5% w/w to 10% w/w; (b1) glycerolmonocaprylocaprate present at a concentration ranging from 20% w/w to65% w/w; (b2) caprylocaproyl polyoxyl-8 glycerides present at aconcentration ranging from 7% w/w to 13% w/w; (b3) polysorbate 80present at a concentration from 7% w/w to 13% w/w; (c)dl-alpha-tocopherol present at a concentration ranging from 0.5% w/w to1% w/w; and (d) glyceryl monooleate present at a concentration rangingfrom 33% w/w to 43% w/w.